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HomeMy WebLinkAbout041-430-003i I t v j o ° 1 41.-43-3 Tom Hegenbart�1� �,-,e /S, Clark Rd, cros from C1er Cr ek M1-! Estates, Paradise Permit #3102-76P,E(util,� ELEC.---� .Z - r f:AS_ i ! SUPPOR STRUCTURE REQ. �'. COMPACTION TEST REQ. � /-5 -»77 41- 3�j3 7 P�'r 6787=76MHi��!/U Issued 41-43-03 2931 Clark Rd, ORoville II31I �` Permit#51-89P(conv from 1p to nat gas)M)= 041-43-0-003 92-446 BPEM HEGENBART, Tom 2931 Clark Rd, Oroville new , sf I�GU.NBARTb Th�11 o&'Be've� ly 931 Cla.rl Ron d Butte Valley COil lr SRM; fi li oll�p'deni fnd Master Pl�nt> 1;33 041-430-003 99-1340 t' HEGENBART, Thomas e • 2931 Clark Road, Oroville 06 Contr: SRM Contractors �I Garage rHEGE04�1-430-003 99-1537 NBART, Thomas 2931 Clark Road, Oroville Contr: SRM Field Completign,of MH framin tt"7 041-430-003 `9-1557 HEGENBART, THOMAS & BEVERLY 2931 CLARK ROAD, BUTTE VILEY CONTR: SRM i t YlI ` 3 j a .ELECTRIC SERVICE �. Runaw 041-430-003 CD CD 41-43-3 01%1 from Cle WIS Clark Rd. �cr Estates, Paradise j., 4114% to, GAN ONPACTION TEST REQ. Issued dLIU 2931 Clark Rd, ORoville F-o�� 041-43-0-003 92-446 BPEM HEGENBART, Tom 2931 Clark Rd, Oro ville new sf it 04 14-630-00 W Road, BLItte Valley lit �4 t1141 ill p -'041-430-003 99-1340 HECIENBART, Thomas 931 Clark Road r: SRM Con -tractors' 99-1537 jf,41 041-430-003 EG ad, Oroville 2931 Clark Ro Contr: SRM 99-1857 041-430-003 AS & BEVERLY THOM ffEGENBART LEY -Pr. 2931 CLARK ROAD BU'111 V CONTR: SRM �zu ems— , NOTES RESIDENTIAL UUP .y414;() ,Ivtr` Y:f1,99k120�5 HEGENBART; Thomas & Beverly __ _ PERMIT NO ! yr 29,1 Clad. Rodd Conir: SRI\l- tj �I.1110n pernitfnd; Mastet Pl'ani9 53 ; !! 11 'I_I 1 '• � SPECIAL CONDITIONS CHECKED BY { SRA FLOOD CERTIFICATE REQ. FIRE SPRIN_KLER:c_,o-r-f------ _, fr OFFICE COPY JOB FINALE s`, Signatu z -Address GAS Meter BY :.ELECTRIC Date --Meter By Address , ,f GAS Meter By Date 7 r a ELECTRIC-����°� Meter By n Da JOB FINALE s`, Signatu Y 8. 1 Date: I s • "/=OK' Date` # `0 = Not OK n -MOBILE INSTALLATION (Plans) OK except #'s I _ = Not Applicable MOBILE HOMES • ' ='Not Ready - / ; MH Demand -Valve -Connector • Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 7. Water and Sewer Connected -C/O to Grade -HD Approval 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete \ t xits; Insp.-Sketch b 11. Cert. of Occupancy trn_ • 4. Water; Location -Test -Easement Needed (Sketch) 1. S. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Card B-1 Date Card B-1 and B-1 Date Card B-1 6. Gas; Location -Test -Wrap;-/ /" L'ft. 3. • / /'Nat. or/ /"L"ft./ /'LPG 4. 7. Well Clearance & Disconnect 5. 8. Utilitv Clearance Fu 9c) 4 i��9 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s �1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. 1 Date: Card B-1 Date Card B-1 Date` Card B-1 Date Card B-1 j Date"- -MOBILE INSTALLATION (Plans) OK except #'s I Zo ' equirements-Setbacks-Easements 11. ootin ize-Spacing-Marriage Line - / ; MH Demand -Valve -Connector ' rK Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector 1Nater; MH Test -Regulator -Connector L' Date 7. Water and Sewer Connected -C/O to Grade -HD Approval cr. 8. 'Gas and Electricity Tagged Tie Downs -Type -Installation Cert. ' Date \ t xits; Insp.-Sketch b 11. Cert. of Occupancy trn_ FINAL (Plans) OK except #'s \,,W -permanent Foundation Only; License Decal ' 1. Setbacks -Easements ' Date% Date Card B-1 Date Card B-1 and B-1 Date Card B-1 Soils; Compaction -Structure Stability Fu 9c) 4 i��9 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s �1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in,Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test. 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 6 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI -Oven Circ. J / ga Cu or At Insulated Neutral ❑ Yes ❑ No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air 'Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I n f i Itrat i o n- Wal ls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes ❑ No/Walks 0 Yes 0 No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION a DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751. 7 County Center Drive! Oroville, CA • (530) 538-7541 CORRECTION NOTICE /: / C'92, -,o A:9 y— /Z C) OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con ct this office immediately. ' AZ"- a Date Inspector -AeAO—�' REV 1 /92 JUL-07-99 04:36 PPI NTC -APPLIED TESTING 530 891 4243 P.02 i I O 9q i APPLIED TESTING CONSULTANTS November 30, 1998 County of Butte Building Division 7 County Center .Drive Oroville; CA 95965 Artn: Gentlemer. We have completed an Expansion Index (EI) Test per the 1994 Uniform Building Code (U13C) Standard 18-2 on the soils obtained from the building pad of the Hegenbart Residence located at 2931 Clark Road in Oroville, The site is identified on plans prepared by your office as AP# 41-43-003. The soil described above was sampled from the North East corner of the building pad for expansion index testing. The test result was an EI = 13. The UBC classifies this soil as having a "Very Low" potential for expansion. The Butte County Building Department requires no recommendations for mitigating the effects of soil expansion if the EI exceeds 20. Applied Testing Consultants does not represent that these test results and/or recommendations are suitable whether or nota modified, for any other site or structure on this site than the one for which they were specifically prepared. Applied Testing Consultants disclaims responsibility for these test results and/or recommendations if they are used whole or in part at any other site or structure on this site. Thank you for the opportunity to be of service. Please contact us at the address and number above if you have any questions. Sincerely yours, Brad Forsythe Vice President Director of Operations 3060 Thorntree Drive, SW 10 9 Chlco, CA 95973 - Teiephone: (530) 891.8625 - Facslmi16: (530) 891.4243 JUL—Wr'-%4';0 U4:66 YM NTC:—APPLIED TENTING 530 1391 4243 F.93 IKA�APPLIED TESTING CONSULTANTS Expansion Index Test File ift Client: Orchard Crest Estates Project: Hegenbart Residence Contact: Steve Canterbury seildescription. Dark Brown Clayey Sandy Silt sempielocation: NE corner of Building Pad Semple taken by: B. Forsythe - ATC Depth of sample: 12" NfOiatlire determination Groan wet wt: 345.4 Grose dry wt: 315.6 sts Nn wt: 93.5 Net dry wt: 222.1 Moisture Loss: 29.8 Moisture content: 13.49b Density determination Wt of sod 8 ring: Tare of ring: Not compected soli wt: q382,3 Dry Density, peC Saturation detemlinetton t volume of solids: 0.574 Volume of water: 0.208 7 Volume of air; 0.218 t Degree of eaturatfon: 48,9% t Groan rina; wet wt; 765.7 Gross fatal dry wt: 592.1 Flnal moisture logs: 173.8 t Final net drywt: 498.6 2 Fina moisture content:Fine 34.8°fo This test was Pert Reviewed by; AND Date: 7 -Jul -99 Tech: B. Carter (Time I Reading Expansion Index: 13 3060 Thomtree Drive, Ste. f o . ChICo, CA 95973 - Telephone: (530) 891.6625 ' Facsimile: (530} 891.42243 0 B.I.N. QREQUEST FOR INSPEC4ION Permit No. Location: L C L Age, Owner. ntractororTenant: Complaint: 14,/1 — 7 3-- c"s BLDG. PLUMB/MECH ELECTRIC M.H.L IVIAU: ' PRE - Form Rough Rough INSPECTION Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Bond Beam Insulation Nailing Sewer Piping Water Piping Shower Pa Well Circuit Light Ni a � Verify Utilities THER R (� JV (/. J\ C e Corrections Corrections Corr cti s Final Final Fin READY FOR - A.M. INSPEC.ON P.M. Date: Time: Note: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26 -Aug -1999 1999-0036792 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. THOMAS P. HEGENBART & BEVERLY F. HEGENBART REAL PROPERTY OWNER/LESSOR 2931 CLARK ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE LP SAME UNIT OWNER (if also property owner, write *SAME) MAILING ADDRESS CRT comiff STATE ZZP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVMLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-1205 (530)538-7541 BUILDW5 PERMIT NO. TELEPHONE NUMBER 8/26/99 SIGNATURE OF LOCAL AGENT DATE NONE DEALER NAME (ifnot a dealer Salk write 'NONE,) DEALER LICENSE NO. FUQUA 1999 422 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 3848831,2,3 44'X 38'6" 16837A,B,C SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #041-430-003 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Bwilding Dept LEGAL DESCRIPTION' A.P. #041-434-003 All that certain real property situate in the County of Butte, State of California, described as follows: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 22, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF SAID SECTION 22; THENCE ALONG THE WEST LINE OF SAID SECTION, NORTH 00 DEG. 44'10" EAST, 1,151.61 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FORM SAID TRUE POINT OF BEGINNING, CONTINUING ALONG SAID WEST LINE, NORTH 00 DEG. 44'10" EAST, 603.82 FEET; THENCE LEAVING SAID WEST LINE, NORTH 89 DEG. 35'40" EAST, 1,796.63 FEET TO A POINT IN THE CENTERLINE OF CLARK ROAD; THENCE ALONG SAID CENTERLINE, SOUTH 19 DEG. 02' WEST, 640.17 FEET TO A POINT WHICH BEARS NORTH 89 DEG. 35'40" EAST FROM SAID TRUE POINT OF BEGINNING; THENCE SOUTH 89 DEG. 35'40" WEST, .1,595.63 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE EASTERLY 30.00 FEET LYING WITHIN CLARK ROAD. 'f I BUILDING PERMIT NUMBER: 99-1205 ry � Address or location of unit: 2931 CLARK ROAD, OROVILLE, CA 95965 Legal' Description of .Real Property: A.P. #041-430-603 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: THOMAS & BEVERLY HEGENBART +, Y N i• Owner's address: 2931 CLARK ROAD, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: 16837A/B/C SERIAL NUMBER OR V.I.N.: 3848831,2,3 ' '"NUFACTURER'S,NAME: FUQUA YEAR: 1999 OFFICIAL APPROVING INSTALLATION: DATE: 8/26/99 ,PHONE: (530) 538-7541 A.C.D. 513C ✓ovil�e boy 4P17yyYo 3 Order No. Escrow No-, 34418 7432 Loan LoNo. ges!CIAL 0ECOROS BUTTE CCr:51Y-CALIF WHEN RECORDED MAIL TO: lSi VAL0 Yk AND �>L�� (AiiWIINC Auo t l 1123 -AN LM Thomas P. 4egenb4rt LOUISEKLUEIiRER W46920 Clark Rd. CGUNITRCCO)C[R Paradise, CA 95969 FEE 5153 .............. wcs wevvE THIS LrNE FOR MAIL TAX STATEMENTS TO: RECOROE1t-S USE DOCUMENTARY TRANSFER TAX a 4 4 Q Q .F X- C«rout.e on the eons' - alon or!due of Itropeny ewwoved; OR Same an above ..«.. Computed on the eerewnation of eahra I$= Bern or ertwRrlrarto„ r�eanl e1 taN. fl,rwt.r.. t1.sW.nt or Aerrit a.Wminlnj W — rinw Nrw. Mid Valley Title & Escrow Co. GRANT DEED �p��,,,,__ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ~P� DAVID L. FISHER AND ANN E. FISHER, his wif• RICHARD E. COLE AND ALICE F. COI!, husband and wife hereby GRANT(S) to TROIlliS P. HEGENBART AND BEVERLY F. HIGENBART, husband and vife as joint tmante the real property in the City of tmiOeorporated County of ' Butte State of California, demibed as 'Being a portion of the Southwest quarter of Section 22, Township 21 North, Range 3 Last,t:.D.b. I: I•t., and nore particularly described as follow!.: COMMENCING at the Southwest corner of said Section 22; thence along the West lilac of said Section, North 000 44' 10" East, 1,151.61 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, continuing along said Fest line, North 000 44' 10" East, 603.82 feet; thence leaving. said best line, North 890 35' 40" Last, 1,796.63 feet to a point in the centerline of Clark. Road; thence along said centerline, South 190 02' Fest, 640.17 feet to a roint which bears North 890 35' 40" fast from said true point of beginning; thence South 890 35' 40" West, 1,595.63 feet to the point of beginning. EXCLPTI`G THEREFROM the Easterly 30.00 feet lying within Clark Road. G Dated— __Auva"9Sbla.1975 STATE OF'CALIFORNIA 1 COUNTY OF 1 1 i '0it belore me, ow urWmWm4 a Notary pwW c M and fp ted State, pereI )V aotwred en&R tome lobe the pertan . _ t1haN n/rte Eubtefled to tM Mthin ir4hument and aekro . ft dM - --.—_. falYtaldwaarta VVITNESS my heed and oMieia Mat. sgtnun . F[ le —A ei7 ; Coe g --_•—."-_- �--�• (T"R Y.. I.r .N"t,l noWltt asMl MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002110/691 a STArt OF CALIFORNIA COIN" OFButte o August -1-91-197 _ b.ler. «. a..re...lRr..d. • Naw F Vk w ow lq!, j v ..w Sun. p.wndM •vp..d—?.._.E. _ Parker _►. sew.11p ►no..w ro nY, Ie l.. Ilr w .ub.rS.d to tiv .Ida w • rltrw. e..r•to, ..b biq by r... Arra i ..rern,.d.p..d.d .«e: r►.1 ti,„w.• l..__...J?Ar adiae_ _ N i ' du1 M — p..ent •nd ..._Bisherst-il y F Pwn llv ►no.n to Nnr to be *4 tr o P”. B_., dt« Vmd in •r.d .rko .....Md dy •Nd .ritlJw Wt..rrrrrd, ms— P-1 pr1 iel_ _... d.r.l•, .-x rol .w d•u.•r to ..n.• .w tt.t d»-w—David-L.. -Y.ilh. arc.._ Ann- no_-Z—Fiaher.'_Rich.ardE..Col -Z —Ili Sher.'-Rich.a rd ..and_Alice..F... mole.._ .. rrnul N • . dnb ..lr lcrdpM .d 0. p..— d ..w .fr ., 'the ti1 J, 61 I l C S A l a r A t VERI:A ' ....nt.d tl....n... -4 t►.. h. Il.. ...d .94..0. tl..,. ►^ M07. 1WIA yy�. ei r I14Y..1, .0..;bw Ni n1r... •...ilrt.. 1 to III. Mr k1 u.d eR.tf.l N. .COYMr► .021 a .�,�n'w _.. \�..Kw.�/�>►..�►���[ MI [Mwl d- t•►Irr !J� )!. IY7� ' .Lpwitw. _ _ u �►►N�Y►INNfpIrp�4N111Npprl1����. Nn... Il.o.d or ►rfnt.dl wo OF DOCUMENT tr t DEPARTMENT OF HOUSINGFAND.COMNUNITY DEVELOPMENT DIY ONF CODES AND STANDARDS REGISTRATION AND TITLING SECTION ; STATEMINT OF FACTS This unit is. a: Mobilehome Commercial Coach Floating Home Q Truck Camper Decal (License) No.(s) Trade:Name. Serial No.(s) I/We, the undersigned, hereby state that the unit described above:./v¢-,,_ . � n� • j6� STS'//�T'�c,-. Affiant further agrees to indemnify and save harmless the Director of Housing and Communit. Oevelopmer•t, State of California, and subsequent purchasers of said unit, for any loss the. may suffer resulting from registration of the above-described unit in California, or from issuance cf a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on 171111101fl, at f��-v�-'ire. , . ��.• to (City) (State) Signa�a of each A ffiant Printed name of each affiant Address ell -City State HCO 476.6 (Rev 11/86) k'! 'COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION o n •1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMITg9^` ASSESSOR PARCEL HUMBER 041-430-003 ZONING I BUILDING PERMIT OWNER HEGENBART, THOMAS & BEVERLY TELEPHONE 534-4795 SO. FT, OCC. BUILDING VALUATION 1 27 87 858 OWNER'S MAILING ADDRESS C/O 80 ORCHARDCREST DRIVE, OROVILLE 79.9 1,038. CONTRACTOR'S NAME SRM TELEPHONE 534-4795 CONTRACTORS MAILING ADDRffb ORCHARDCREST DRIVE, OROVILLE j� CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 5 $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2931 CLARK ROAD Energy Plan Checking Fee $ $ PERMIT FEE $ - LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00' USEOFSTRUCTURE SF ❑ Duplex Ift Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 . Water piping 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [A Other ❑ Describe Work: MH ON PERM FND . MASTER PLAN 94-33 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 a00VOR LESS Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. License Class Lic. No. 53 9'76 OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as cwner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 4 A'L Policy Number--•� —)—L-4 _� n (The above sectionsWeed not be completed if ee pe m • is for of a valuation of one hundred dollars ($100) or less.) 10' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Af ith com ly with those provisions. X Date Signature of Applicant Owner ❑ Contractor WAgerft An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW -UNG OCCUP. SO OR ADDNS. a ACC. BLns. 3.5¢FT; NO RESDT' MULTI -OUTLET @7,50 POWER APPARATUS 3 SINGLE OUTLET CIR. 20 @ ' 00 Ex. Occup.OUTLET OR FIXTURES BAL @ .50 L"SI Ex. Occup. o IXUTLEEDrs RESID°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation V PERMIT FEt $ Mobile Home la#n Fee $ �ab Energy Inspection Fee $ Occ CONST. TYPE TOTAL FE $ �( HAZ. r D. FEES IMP 0 D P C 5SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 1O the applicable provisions Resolutions to do work been paid. �� Q T ate q�, -� vU Dat Receipt No. 265338/7Z- 2 'fr WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I• TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Ached Sent to B.D._/ ter-. 4-6-e4At:T-- Or, -,2) �1 2� J 436—�3 Owner Location AP# Plan ;'Approved for: Sewage Disposa� Water Supply: Public Private Well Clearance for dwelling. Other ilU�W 2. LC 1 1yC Hold final for: Lf -CM V—L,4 !G/ T' Q LL 1 It r— d z-) Final clearance O.K. for: 0 SrMA 6 NOTE: Environmental Health Specialist 8/96 Date % COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET .OWNER: 'rl-l""l ASSESSORPARC��: M Proposed Building Use: RM.Alo60Building Inspector: Date: X At time of permit application, I was advised the following data must be sVfimitted prior to permit processing'dd/or issuance: Date Received By I items have been submitted -------------------------------------------------------------------------------------- 2. Plot plans, 3/4 sets, signed by the prelarer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the pre'parer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. stat ent of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- - El 8. azardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions including Tie Down Specifications.----------------- Fees pecification's ------------ ------ .Fee $ E' 7 '0 8 M Stat a a t z n ar ufd e 0 an ru tt s ur 0 F s of ees of $ --------------------- pact fees as shown on the attached schedule. ----- --- - 7 ----------------- -------------- Californias ClifrnDepartment of For,6§try plan approvalC --- L -r ------------------------------ 3. , od elevation certificate.------------------------------------------------------------------------ — --- ------- 4 .S it tjo Health Department. --------------------------- --------------- t Sanitation and plot plan approval�o El 15. City of Chico plumbing permit. ----- ------------ -------------------------------- v--a-1 ------- 7t, -------- of--B--ig-*gs --------------------------------------------------- El 16. Plot plan and bminess license approval 1he 7 '�/01 0 17. Planning approVatfi6r (A) Use: (B) Parking: -------------- ----------- 0 18. Contact Land Development about 0 Improvements,'Sl DrainajeEl Legal Parcel. ----------------------- El 19. Encroachment Permit for driveway (construction approval prior to—occupancy). ---------------------------- : E120. Pre -inspection for' required. Request to Building Inspector on Ej 2 1. Contractor.',s license information. (Number, Name Style, Classification). ------------ ----------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ` ❑23. Owner -Builder Verification (Given to owner El, Mailed to 'owner 0) - ----------------------- -------------- E124. Letter of signature authorization. -------------------------------------------------------------------------------- E325. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- El 26. Letter of intent on budding use. ----------------- 7 ------------------------------------------------------------------ 1127. manufactured Home utility clearance.--------------------------------------------------------------------------- 2-a (Date) EI223. Existing violatiqns ore iredp-- ----------------- ---------------- d' ;29. &433-A, M to.H.C.D $ --------------- El 3 0. Other: V When you issue the permit,process as follows 0 Mail to owner, E]Mail to contractor. OTelephone and hold for pickup at c ff'rce..11 Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ii Health Department, 0 Fire Department, C3 Air Pollution, ' Date: Copy of plans sent 0 Health Department, 0 Fire Department, 11 Other: - / -,�Dwte: By. 1. Index pennit application for the above items numbered: �X 9-6an Check List 2. Additional items required: J/ Contractor, designer, owner, was advised of the above required data by o phone, o mail, —ogiuilding Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0. phone:,13 mail, 11 Building Division, counter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone,,'o mail, 11 Building Division counter, by Date: Contractor, design own of the above required b 0 phone', 0 mail, C3 Building Dw'ision counter, by Date. 6 d"a7 Plans approved Plans reviewed by: Date7 by: —Date: Sets of plans 0 Who lo Plan C A P folde'r. Note transfer by: Date: V.11- r--- - T`% - .t-+ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - Revised Plan Checking Fee ....... $ I ,, 4*6 2. SCHOOL DISTRICT FEES Ll,)r (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ / Units Cornmercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. ommercial (sq.ft.) .. x =$ Sq.Ft. Amt. )5. RECREATION DISTRICT FEES (paid at District Office) t7� l 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87. TRAFFIC FEE $2500.00 (paid at Building Division) 10."OTHER A.P. #0411-436— 03 DATE RECEIPT # DATE REC L?:�ffl;tl .0 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. r. These fees may be changed during the plan checking process. APPLICANT DATE -44z� Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES., -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 05965 !TLEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER ` PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ _ _.2. -SCHOOL DISTRICT FEES t' `� (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commerci� (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x . _ $ #Units Amt. Cammercial (sq.ft.) .. x _$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at__ District Office) t ,-).t.r 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK 089.00 (paid at Building Division) A. P. 'y_0, 4, /— q3 DATE RECEIPT # DA(TE 03- 1. 3. 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) T ' 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ', �\ "` DATE y Pursuant to Government Code Section 66020 you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified -in Government Code Section 66020(a). a Origin: -Building Div. 2nd Copy - Applicant 3rd Copy - Owner �'` (Rev. 2/97) June 15, 1999 Thomas and Beverly Hegenbart C/O 80 Orchardcrest Dr. Oroville, Ca. 95965 Assessor Parcel Number: 041-430-003 Building Permit Number: 99-1205 BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 The above referenced building plans were reviewed by this office. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Please be sure to include on the resubmittal the engineer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide 3 plot plans which .show location of existing mobil home and new home. 2. Apply for a permit to convert existing mobil to storage unit. 3. Provide flood elevation certificate prepared by a licensed professional. 4. Fill out enclosed Mobil Home Data Sheet for information pertinant to this lot. 5. Enclosed are your school and park fee forms. Pay any appropriate fees at 'district offices and return yellow copies to the building department. 6. Apply for permit for garage shown on plot plan. Plan check will continue upon receipt of all of the above items. Additional items may be required when your plan check is resumed. If you have questions about any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Martha Whitney Plans Examiner 1 � �o W C G) m 000 >C < XZ MI 6' ro Mobilehome Manufacturer: v - ✓ Manufacture Year: /41 If other than single wide, furnisl Setup Model Number- Width3fI ,,.(ft.) Length:_Y V (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other:UU'---'--' SUPPORTS: Concrete block[" Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 1. Line 2 J.. ine 2 .................................................................................. Main Beams Line2.................................................................................. . e2Lme 1 ne 3ne2 ..................................................................................Main Beams ..................................................................................ine 2 ine 1 .............................. .......... e S Tag or Triple e4 Line 1 Line 1 Piers: Size minimum: r i x Spacing maximum: I t` From ends -maximum: ` Line 2 Piers: Size minimum: V-171 x Pq]. Spacing maximum:O ` From ends -maximum. ` G� ` Line 3 Roof Loads: Size minimum Location (from front) Line 5 Roof Loads: Size minimum: Location (from front): �Yti "/ Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I I` Line 4 Piers: Size minimum: ] x [ ]. Spacing maximum: ` From ends -maximum: ` /�yr2 �2�•a ryx�� yyyzv r���� �3Y3 r3 3 l , 0 !j -:' ,r' 7 ,?' 3 ry e(2 /;5;7 �f�vy 7�i�✓� f 7 Oma_ 0 .. v.... ,�,r_—; +i►• ... •j+jo��.- .k'• "'I�.s7c .�-..�.' Y ,11M' BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s):jip - co Property Qwner (s) : GhA/:�,Y.� Project Location/Address:. a�9 / C7 lVit . Subdivison Name: Assessable Square Footage: %a Type of Residential Development (check one): New Development ❑ Alteration/Addition (r Mobile Home (s) ❑ Non -Residential to Residential PA Comments: Yi + Building Di i Ion Repre nta give Date Durham Recreation and Park District (DRPD) certifies that Applicant Name Applicant Phone Number x931 Clark Rd Street Address 0(rOU111 e. G4 � T%5 City State Zip Code has`comp6d with the requirements of the Butte County Board dS' _upervlsor"s Resolution No. 93 - 114 by payment for q 4;L square feet at $ 1.04 per square foot for a total payment of $ 919. (OF. -DRPD Representative PAID BY CHECK No.: - BANK No.: ICI) --4;t0,;2- PAID BY CASH: RECEIPT No.: 9 (O 5_9 Date Remarks: 'Removed'. IrioO -d'e .N* -Me Cred , t a;s s� DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION } t . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM r (One form per Building) School District D IuAoy� Building Department No. A.P. Number Q `4I — q 30 — 00-3 Jurisdiction: City County Property Owner Property Location/Ac Subdivision Residential Development Commercial/Industrial 0 No of Living Mobile Home Units Installation Lot No. 0 Addition/ 'Supplemental to Conversion Permit # '(No foundation inspection): ............... ................ .................. .................................................... . District Identification No. our runs reviewed oy acnooi uistnct rersonneq -7/ f 7 c1iUQ {-%f�711 vN i Fi�u School District certifies that Sq. Footage / (Q (Group R) is Sq. Footage (Including Exterior Roofed Areas) - LO -P;-, 9 9 Date } y THtomA (Applicant) a931 ` �d (Street Address) (Phone Number) D&V (City) has complied with the requirements of Resolution No. representing 076-9 square feet. (State) �1 (Zip Code) /� 7 by payment of $ 41 7.3.9 / AB 2926 = FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: -M RCRLA Ce (2 u P—iep)'T- moo 1 L.r A0 ,Vl; y �t I t Talo'-fCE_ Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(al, within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the $chool District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White lapplicant), Yellow (building department), Pink (school district) feeform MIs (10198)dmm O B.I.N. ^ �QI�STJOR IN�E�N en -nit N Location: .�7CJ "V!� 0 Owner. Complaint: orTenant: t - / i �k BLDG. PL B/MECH ELECTRIC .I./M.H.U. PRE - Form Rough Rough INSPECTION Frame/Underfloor Stucco Lath Stucco Brown Fireplace Bond Beam Insulation Top Out Gas Piping/Test Temp. Gas Sewer Piping Water Piping Shower Pan Temp. Service Service Underground Well Circuit Light Niche Corrections Final Housing Job Status Permit Renewal Verity Utilities OTHER Nailing Corrections Corrections Corrections READY FOR A.M. Final Final Final INSPEC. ON , 19_ P.M. Date: + Time:Note: ti PRE -INSPECTION OWNER: DATE LOCATION: A. P. # CONTRACTOR: ZONING PRE -INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED �J [� HEATED -COOLED OTHER COMMENTS: HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES %__l PERSON CONTACTED ACTION RECOMMENDED: 0 ISSUE 0 HOLD FOR, OTHER: BY DATE S4 ry s 4,--q- s 4-o' 6e o� scm -oil n,.?-Jc J Jv?WTMENT O Vo��TrFo (o , o I O C o— a \� AcOV Nay oLac/ Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Assistant Director of Public o f B u t t Works 7 County Center Drive Oroville, CA 95965 (530)538-7681 Fax(530)538-7683 ENCROACHMENT PERMIT APPLICATION 1) There is a 3 -day minimum processing time on all applications. 2) All applications must be filled out completely and signed by property owner or licensed contractor. 3) Location of work to be done includes address of property and/or assessor's parcel number and a description of the location (i.e. distance from the nearest crossroad or other well- defined landmark). 4) Along with the application, a plot map showing the site location of the driveway approach must be submitted. 5) Applicant must place a flag or similar marker at the location to help the inspector locate the site in the field for a pre -inspection. 6) If items #245 are not completed at the time of the pre -inspection, the application will be delayed or returned. i NOTES RESIDENTIAL 041-430-003 99-1537 'HEGENBART, Thomas - x PERMIT N0. 2931 Clark Road, Oroville ./ Contr: SRM �� Q14AILI� �S Field Completion of MH framing a' K� 38883 /, Z, 3 SPECIAL CONDITIONS CHECKED BY 14 SRA •i FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS' VERIFY USE PERMIT CONDITIONS I SUB -STANDARD HOUSING LETTER I* I JOB FINALED t u �y f Signature A V= OK 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 3. 7. Well Clearance 8 Disconnect 4. 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date Electric Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date 7. Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except We 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size r / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral C) Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Ca -d B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in- Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes U No/Walks .J Yes Q No/Planters ❑ Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: NOTES Oft ',I���4 � � "tA i Dates', 21: ,Tf 1001 pages ToTa„ /i !Flu From Vic-` Co./Dept. Co. Phone #_ Phone #5,5b^ 65 8 -7S t Fax 15,69 - 378-- /o1 jFax# 53o- 53f1 -Z140 k Post -it® Fax Note 7671 Dates', 21: ,Tf 1001 pages ToTa„ /i !Flu From Vic-` Co./Dept. Co. Phone #_ Phone #5,5b^ 65 8 -7S t Fax 15,69 - 378-- /o1 jFax# 53o- 53f1 -Z140 t -t `JJOB FINALED t f Signature ' _66ot,-.— RESIDENTIAL 041-430-003 99-1537 PERMIT NO. _HEGENBART, Thomas 2931 Clark Road, Oroville Contr: SRM Field Completion of MH framing e �C t) -v S' Zoe, 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r CHECKED BY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /(�) 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/9' APPLICATION AND PERMIT" asSESSOgPARCEL NUMBER 041-630--003 ZOw",°. BUILDING PERMIT OWNER HEGENBART, THOMAS TELFPNE MO SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1931 MARK .. CONTRACTORS CONTRACTOR'S NAME SRy T" 4795 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee S 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2931 CLARK RD Energy Plan Checking Fee $ SPECIAL INSPECTION $ 46.00 PERMIT FEE $ 66.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT ' Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat purrip water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FIELD CO PLETIONN OF MH FRAMING STAB$ (W OREGON —ALTERNATE OaMPLIANCE INSPECTIONS Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V OR LE Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �-I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number A,/-- z 424J 7 �L —t31 (The above sections need notbif completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) WT certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the 'compensatio rovisions of section 3700 of the Labor Code, I shall comply w' se pr visions. Date Anatureplicant - ❑ Owner ❑ Contractor gen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. S° V OR ADONS. ( a ACC. S.3.5QFr: �Np0pfgESIp, MULTI-OUTLE CUI @7,50 TS POWER APPARATUS & SINGLE OUTLET CIR. 20 Ex. Occup. OUnET OR FIXTURES a 0 2 p .w @'•0° ED Ex. Occu . oUnRa D °E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ S Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 D SEs IMP I FLOOD I COF PARCEL I Po Ho ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date � v EXPIRES ON "'� d 4 0 to Receipt No.PERMIT WHITE-D.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1-.7a's; •-•F� �7-xM�n�.y�...r.-;:.;.�.—.,�,.�., :,�u.i :. ,p�,,,..,,��, .11�sYk��c.;w�ycrtMr.� v .. �.... -v..- -.,.P- - 041-430-003 99-1857 HEGENBART, THOMAS & BEVERLY 2931 CLARK ROAD, BUTTE VALLEY CONTR: SRM - ELECTRIC SERVICE A7;5 5 �• a y J T 1-.7a's; •-•F� �7-xM�n�.y�...r.-;:.;.�.—.,�,.�., :,�u.i :. ,p�,,,..,,��, .11�sYk��c.;w�ycrtMr.� v .. �.... -v..- -.,.P- - 041-430-003 99-1857 HEGENBART, THOMAS & BEVERLY 2931 CLARK ROAD, BUTTE VALLEY CONTR: SRM - ELECTRIC SERVICE A7;5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovil(e, California 95965 • Telephone (530) 538-7541 P - IT NO. (Rev. 12/96) APPLICATION AND PERMIT `r' ASSESSOR PARCEL NUMBER 041-430-003 ZONING . BUILDING PERMIT OWNER `-- ' THOW & BEVERLY !80 TEL534EPHON-4795 SO. FT. OCC. BUILDING VALUATION ORCIM11CMI T DRIVE. OROVSS99YY1WtYrGtY S OWNERMAILING ADDRESS � CONTRACTOR'S NAME SRM TELEPHONE 93 CONTRACTORS MAILING ADDRE& ORCHARDCR ; R, OROVILL,ER CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2931 CLL ROAD, NBUM VALUN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 1 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ( ELECTRICAL PERMIT Fling Fee 20.00 i a00 OR LESS Main Service 200A OR LESS 23.00 • OC i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Divisio 3 of th Business and Profe ions Code, and my license is i 11 f d eff License Class ic. No. OWNER -BUILDER DE TION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ` ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:, ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CarrierPERMIT Policy Number 2- - , (The above sectio need . of be competed if the perm for wor ak din of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compens n ovisions of section 3700 of the Labor Code, I shall ' forth wi'h comply th e p ovision ' X Date12 Signature/ p - ❑ •wner tr for ❑ Agent An OSF�A permit is required for excamons 9wTar 60" deep and demolition or construction of structures over 3 stories in t. Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. SG OR ADDNS. a ACC. BLDS. 3.5¢FT. NEW CONST.MULTI- NON-RESID. @7.50 aPOWELR aPUrLP�ETT S Ex. Occup. OUTLET OR FIXTURES 20 ® 1.00 BAL @ .50 FIXED APPLNS.OR Ex. Occup. OUTLETS RESID.I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i • MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE VVU TOTAL FEE $ • HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EX IRES O ✓ the applicable provisions Resolutions to do work been paid. ate J �Z .Z >D Date Receipt No.? 77 _U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT 7 - ASSESSOR PARCEL NUMBER 041-430-003 ZONING BUILDING PERMIT OWNER HEGENBART, THOMAS & BEVERLY TE534E4795 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS C/O 80 ORCHARDCREST DRIVE, OROVILLE CONTRACTOR'S NAME SRM TELEPHONE 5344795 CONTRACTORS MAILING ADDREsO ORCHARDCREST DR, OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2931 CLARK ROAD, BUTTE VALLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:_511k i ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 2o.OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio 3 of th Business and Professions Code, and my license ism II fo e�dse�aeL J / f License Class Lic. N OWNER -BUILDER DE TION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number — (The above section's nee of be comb eted if the perm for wort of a valuation of one hundred dollars ($100) or less.) I� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' c ens 'on rovisions of section 3700 of the Labor Code, I shall forthw't��l ith se rovisio X Date "_�� Signature 4kpp Ic - ❑ wrier tr ctor ❑ Agent An O A permit is required for exc Ion er 5'0" deep and demolition or construction of structures over 3 stories in ght. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. stns. 3.50FT; NEW CONST. MULTI -OUTLET NOFFaESID. @7.50 POWER APPARATus 6 BINDLE OURET CIR. ET OR FDCTUR, Ex. Occup. BAL p t:w Ex. Occup. oirTLEeDTSA R� D.GEsw 5.00 . Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 43-00 [This E HAZ. D. FEES IMP FLOOD CDF PARCELPD HDL permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ,-�-- PERMIT E IRES IN the applicable provisions Resolutions to do work been paid. �, Date 2— Date ReceiptNo. 9 7`%-79 WHITE-D.D.S.-B.D. ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.D. 2 If COUNTY OF BUTTE - DEPARTMENT OF &bELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NC (Rev. 12/961 APPLICATION AND PERMIT fig" S� ASSESSOR PARCEL NUMISER ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTORS NAME TELEPHONE - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MNUNO ADDRESS Fireplace Total Valuation b ARCHITECT OR ENMNEER LICENSE NO. Filing Fee b 20.00 ARCHITECT OR ENOINEERS MALINO ADDRESS Permit Fee b Plan Checking Fee b SUILDwo ADORESs Energy Plan Checking Fee b b PERMIT FEE i LOT NO. 9UBONBION9 RIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k1 \Other SPECFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ii-,�nstallation ❑ Describe Work: �� �� w �(� / tC, Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 1 G 1 W (920.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service °zo00oAv 00.11LEss 23.00 Main Service 200A TO t000A 46.00 NEW CONST. ONBll10 OCCUP. 3.SQs . OR AODNS. i ACC. BLOC. NON•RESID. • OUTLET 97.50 POWER APPAAATIJS 8 SPXiLE OUTLET C0. OUTLET OR FwruAEs 20 ® I.00 EX. OCCU BAIL S0 EX. OCCU FO D APPLNS. OR OtmETs ESO. FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 3 , GEJ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt? $ Mobile Home Installation Fee b Energy Inspection Fee S OCC CONST. TYPE TOTAL FEES 5Z/3. pv HA2. 0. FEES IMP FLOOD I COF PARCEL PO I HO SSL This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date NOTES RESIDENTIAL PERMIT NO. _ 041-430-003 99-1340 HEGENBART, -Thomas - - 2931 Clark Road, Oroville { Contr: SRM Contractors Garage L 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. r^ FIRE SPRINKLERS REQ. SPECIAL INSPLCTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature (t�:�/Y�� ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 2. 3. Sewer; Location -Test -Fall -C/O -Concrete 3. 4. Water; Location -Test -Easement Needed (Sketch) 4. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 5. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 6. 7. Well Clearance & Disconnect 7. 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date Light Niche Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COORVARPORTS GARAGES (Plans) OK ex a #'s 1. ning Requirements -Setbacks -Easements fa Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.;.Columns-Connections-Splice-Decal-Enclosures uds-Rftrs-Trusses Stucco -Mesh Date and B-1 &Date44---0aard B-1 Date Date Wd B-1 Date Card B-1 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable • = Not Ready Card B-1 Date Card B-1 RESIDENTIAL (; Date 40. Underfloor (Plans) OK except #'s 41. 1. Zoning -Setbacks -Easements -Flood -Slope Bearing Walls over Girders & Floor Nailing 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 44. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Headers & Beams -Size & Bearing 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73, ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GF] 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral p Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73, Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes ] No/Walks J Yes :1 No/Planters Yes 7 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWN R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and sho a corrected. Please notice this office when correction of work is completed. If you a any questions pertaining to this matter, or need additional explanation, office immediately. please contacXs r r1b ' < Z-I--S� ;�AWJiA i ;Y c. /j Da � Inspec REV 10/92 f� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-430-003 ZONING BUILDING PERMIT OWNER HEGENBART, THOMAS TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAIUI[G ADDRESS 2931 CLARK ROAD, OROVILLE 95965 579 11 10,296 CONTRACTOR'S NAME SRM CONTRACTING TELEPHONE 33 -2144 CONTRACTOR5.MAILING ADDR� 1 LUMBER JACK LANE CONSTRUCTION LENDER - LENDER'S MAIUr:G ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDINGADDRESS 2931 CLARK ROAD, OROVILLE Energy g Fee Ener Plan Checking $ PERMIT FEE i 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome b Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE RE • 99-1205 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby afrirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my IicEnse is in full f ce and effect. License Cless Lic. No. `1 '–OWNER -BUILDER DECLARATION.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby afirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Cartier • •.\ Policy Number ", ZW 4r-- 3 Z — O (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 cer* that in the performance of the work for which this permit is issued. I shall not smploy any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forttwvith h those pr isions. X Signa of p Ic - ❑ ner r Agen An OSHA permit is required for exc vations er 5'0" deep and demolition or cons4 uctionof structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. a ACC. eLDs. 3.5QFl: 20 02 NEW NOON.REOSID. MULTI.OUTLET 97,50 PowERAPPArurus S SINGLE OURET S 0 Ex, OCCU OUTLET OR FIXTURES B20 @ F111 Ex. Occu . DUTIETS "a.oEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE 9 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ ocb coNsr'VT TOTAL FEE $ 267.92 HAZ. – D. FEES IMP X FLOOD A CDF X PARCEL X PD X HD ISSU This permit is hereby issued under of the Butte Coun Code and/or have indi�WZ BY PERMIT EXPIRES ON 47 the applicable provisions Resolutions to do work been paid. at 406 P. t.) Receipt No 265-449/$267.92 WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION IS7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMfT NO. -,Rev.12N6) APPLICATION AND PERMIT ~ MINIFAM&NUMM 20141" BUILDING PERMIT OWMA TZ1.0"ONs SO. FT. I OCC. BUILDING VALUATION OOHrMCfO" oorenwcnar usroa OOWTjQ TOTAL FES uHoors wwNo Aoorlas Fireplace �r Total Valuation i mut Malrttcr an ErFaFron ues►se Fa. Forma Fee i 20.00 AA0MCr ow 06MCM1 www Aeoaess Permit Fee S �— Plan Checkina Fee i �U waoNOAooRess Energy Plan Checking Fee i i PERMIT FEE _ Iorw susav�oKs►wt rAeGO MAP PLUMBING PERMIT Filing Fee 0.00 USEO UCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SFO Duplex O MobOal,ome Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - S outlets 15.00 Now O Addition O Remodel UNN" O hstalatlon O Other Building sewer 15.00 nO Describe Work: C1' A / ` /� � Mobile Home IS I GI W 1 1 @20.00 PERMIT FEE t ELECTRICAL PERMIT FM se 20.00 Main Service 1011 LEN 23.00 Main .Service 20M TO IOWA 0 HownESlo.' Uuarovrnar @7.50 rowan APPAMns as Ex. Occup. ovnzr ow F mx= 200 I.30 .w Ex. Occup. �O'P91»' unEm °" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wi6na 1 1 23.00 PERMIT FEE : 4-746-0 MECHANICAL PERMIT Fling Fee 1 20.00 Heatino Hood I I8.50 Ventilation PERMIT FEt i Mobile Home Installation Fee i Enarav InsoactioA Fee t «` OOWTjQ TOTAL FES wiz o. FEES �r 61p/w mut L✓�C�(� This permit is hereby Issued under the applicable provisions l� of the Butte County Code and/or Resolutions to do work �P n 111 indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE•0.O.s-.9 n I ---- wt�w COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: (� 0 3 Proposed Building Use: Building Inspector: Q Dater At time of permit application, I was jdvised the following data must be su ed prior to permit ss '"d/or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------------------------------------------------------- E]2-'Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ El 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 1 . ees of $ ------------------------------------- -------------------------------------------- Impactes as shown on the attached schedule. ${,�-,�----=U-----r E,�- --------------------------- alifornia Department of Forestry plan approval/fees. --------------------------------------------------------- r 3. elevation certificate. ---------------------------------------------------------------------------------------- 4 tation and plot plan approval_ Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). C1 20. 20. Pre -inspection for required Request to Building Inspector on 1. Contractor's license information. (Number, Name Style, Classification). ----------------------=------ Workers' Compensation carrier and policy number. ---------------------------------------------------- 3. Owner -Builder Verification (Given to owner ❑,Mailed to owner ❑).------------------------------ ❑ 24. Letter of signature authorization. ❑25. Recorded:copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. -------------------------------- ❑ 27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------------------------------ 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.ID $ E130. Other: 7— t (Date) ;r r When .ou issue the pe-rtmit, process as follows ❑ Mail to owner, ❑Mail t contractor. Telephone 3 ! ` Z / and hold for pickup at e. eliver ith ' ee r. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Arr`Po1 ion D& By: Copy of plans sent ❑ Health Department, ❑ Fire Depent, ❑Other: 1. Index permit application for the above items numbered: ❑Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildinn counter, by D te: Plans reviewed by: Date: Plans approved by: fc� — Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached shod Floor Phan Art chid sant to B.O._ 46 �,� Owner Location AP# Plan Approved for: Sewage Disposa� Clearance for Water Supply: Public Private Well dwelling. Other (�� ���L Hold final for: Final clearance O.K. for: NOTE: j Environmen 8/96 V Health Specialist I�Ll- 4S Date '%oun`ty-of Bu.fte DEPARTMEN10F PUBLIC WORKS NOTICE TO OWNER Post job card in a sWfe, conspicuous place at front of lot: Do not remove until t(ie required inspections are made and building is approved for occupancy- by this department. Plans must be available on job. J OWNER TOM HEGENBART A. P. N0. 41-43-3 .° CONTRACTOR owner.' PERMIT N0. 3102-76P,E DATE __ 6/11/76 . Approvals of Following Must Be Dated Before Proceeding BUILDING PLUMBING ELECTRICAL Setback Rough Temp. Pole Forms Topout Rough Rein. Steel Water Piping — - nderground` Piers Gas PipingE-117,9401 Subpanels j1 Bond Beam Sewer f '� r`6 Fvice Framing Water Htr. Final Stucco Mesh/Lath Fixtures MECHANICAL ! Stucco Coats 1- Water Supply Heating ` 2- /3- "Septic Tank Cooling - Windows Final Ducts Siding FIREPLACE Ventilation Roofing Footing Final Insulation Cert. Throat MH INSTALLATION Final I Final Final CHICO — 695 Oleander Avenue - 343-4211, Ext. 70 r OROVILLE — 7 County Center Drive - 534-4541 r PARADISE — Skyway and Elliott Road - 877-3435 RT.60RD.ING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUELDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999-003G79z Recorded OfficialRecords Count BUTTf E CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:19AM 26 -Aug -1999 REC FEE .00 CONFORM .00 Fay Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. THOMAS P. HEGENBART & BEVERLY F. HEGENBART BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2931 CLARK ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95965 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 99-1205 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD PERMIT NO. TELEPHONE NUMBER 8/26/99 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENC DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") MAILING ADDRESS DEALER LICENSE NO CRY coum SATE ffi UNIT DESCRIPTION FUQUA 1999 422 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 3848831,2,3 44'X 38'6" 16837A,B,C SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER ` A.P. #041-430-003 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #041-430-003 All that certain real property situate in the County of Butte, State of California, described as follows: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 22, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF SAID SECTION 22; THENCE ALONG THE WEST LINE OF SAID SECTION, NORTH 00 DEG. 44'10"'EAST, 1,151.61 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FORM SAID TRUE POINT OF BEGINNING, CONTINUING ALONG SAID WEST LINE, NORTH 00 DEG. 44'10" EAST, 603.82 FEET; THENCE LEAVING SAID WEST LINE, NORTH 89 DEG. 35'40" EAST, 1,796.63 FEET TO A POINT IN THE CENTERLINE OF CLARK ROAD; THENCE ALONG SAID CENTERLINE, SOUTH 19 DEG. 02' WEST, 640.17 FEET TO A POINT WHICH BEARS NORTH 89 DEG. 35'40" EAST FROM SAID TRUE POINT OF BEGINNING; THENCE SOUTH 89 DEG. 35'40" WEST, 1,595.63 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THE EASTERLY 3 0. 00 FEET LYING WITHIN CLARK ROAD. 'Al I •r- L=i ~~•�• e' ioO Ql6U i1J1A7 7t 17 Qnth e�at tmake arty chi and fi .' `6vr tten changes or a,lteraaona aisw o4 sa�IaO unla. U) r 00 Ithout Sit wamu, an froix the Of,-, ali��81 lea g�or 12.E At C UeC,rji` cO@h7 cl Go }' oct p "h® ,t$h„ �c�(,'�r �� ' iii „�S((�fi_j@1t, r11`�+,�1 reiC a C@a, o 2J S.F3lc �BJICwl �@qe UA $SNO ` .... Baa► ts9. r+r -sr ai � ��G ���. +� ff �.].re,ec.� v Sac- jr Y ' T rae f r1�E'A rr _ of file lot meow - �t plat► s 3 ` .=��� COS ��p q FWsh floor, BP r HVAO equipment and �ry�� � �, Asar i� ,elevation ot/ �® vl q u V1 ZZ 71 0 1 v I Ar z LU LL� cr > UJ o cc z a. CO cc tj V .p 0— cn,❑ u c w cc Lu 0 t LL Lu LL Q (1) cn Lu j C-) >0 Co 1�1)115 lq_ LL zi a- Cli CL r OL CL (D j (TJ M CL co El L51- u V1 ZZ 71 0 1 v I Ar z LU LL� cr > UJ o cc z a. CO cc r —q D3 AP# OF FIRE SAFE REQUIREMENTS -�L / PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [k] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artemant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [yv] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 f eet . [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobst ^scted vertical clearance of 15 feet along its entire length. Page 1 o -f ? —q D3 AP# OF FIRE SAFE REQUIREMENTS -�L / PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [k] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artemant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [yv] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 f eet . [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobst ^scted vertical clearance of 15 feet along its entire length. Page 1 o -f ? <. it AP # PERMIT # NAME [kJ 1273.10 Turnouts. Driveways exceeding 150 'feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1-0 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [y.,] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [? 1. All parcels 1 acre aid larger shall provide a. mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r f_.ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1-0k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signatur Page 3 of 3 O.M.B. No. 3067-0077 ELEVATION CERTIFICATE .� FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 • NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME _ POLICY NUMBER _ STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER --- 1_ CL)4✓LK (20. _ _ OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY � r S�AT,� ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ?'ovide the following from the proper FIRM (See Instructions): t. CpM:.'v:: 7 Y NUMBER 2. PANEL NUMBER 3. SUFFIX c DATE C= FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones. use tleoltt) `. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):: NGVD '29 J Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:!--1 1 1 J feet NGVD (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level t 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of '_33,1 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, Is at an elevation of I 1 i I „- feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A'(without BFE), The floor used as the reference level from the selected diagram is I !.! feet above � or below LAI (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is J°.JI feet above D or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? i Yes No Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:'KI' NGVD '29 a Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: _I Yes No (See Instructions on Page 4) The reference level elevation is based on: I_ actual construction Xconstruction drawings �rNOTE: Use of construction drawings is only valid if the building does not yet have the reference le. -el ;7oor in place, in which f so t r• certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate E41 pi�', red once construction is complete.) h- 1the lowest grade immediately adjacent to the building is:_Jul ; . feet NGVD (or other FIRM datum- � see 4 \-4.(/,A.• SECTION D COMMUNITY INFORMATION he is snot the/" I ts✓oI orr'/As defined/ ofor the community's building floodplain management that o ordinance, he elevation rence of the it Section C, Item 1 e bulld!ng's "lowest Iloor" as define ythe o -nce is: I 1 I I i , J feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of donstruc ro'R or substantial improvement FEMA Form 81-31, AUG 96 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION CERTIFICATION ion This certification is\obe signed bvaland surveyor, or architectwhoi authorized by state or local law to certify 0evat `'information when the " —C»mmuni\yoMiuia|owho —elevation �.information for Zones ^'��^^"'"E'=''~(~m/Brc)'«/—»a»'«E.and «(w�hUF�)ienequired , .no�ihma�n In are authorized by|nmd�worordinance huprovide 8nod�ainmanagementinhonn@honm8y�|uoaig'tho � euonocxZuneoAOondA��houtaFEMAorcommunhviosuodBFE� �'icoM��| ' " .ow»ev'o�pna»on�hvemay �oosign �ecardUc�ion. ' wwu�mmQ 'aPmP»�Ynwno[oran Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable . `~~~'~'/ ="'��""� '�u»uway*a/| 'onn|osureoize.|000Uiondsemiuin equipment, area use, wall openings, or unfinisheda�oFea�n�a)' then Us the Feature(s) noti»«|uded in /he certification under below. The diagram numb \ . |1| entered. be _ /cmtity that the information inSections Band C.onthis certificate � best efforts �av�ab� /undom�ndthat any ��eata�n�entmay bepun�ha�ebyfine ' ^//un^"//8U.S. Code, Section 1001. "'"""= � CERTIFIER'S NAME lCENSE NUMBER (or Affix Seal) TITLE Sig) - ADDRESS 169 SIGNATURE DAT PHONE Copies ShOLJ.10..be made of thig CEITificate for: 1) community official, 2) insurance agent/company, and 3) buildina Owner. COMMENTS/ ------''-- — ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS ZONES ZONES i M ZONES ZONES ZONES ELIVATION ELEvA1,10N 0 LOO - :� AOJACENT GAADE The diagrams above illustrate the points at which the elevaiions should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones sh,?uld be measured at tne bottom of tne lowest horizontal structural member. Page SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AN, A (with BFE),V1-V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance io provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's, representative may also sign the certification. Reference evel diagrams 6, 7 and 8 - Distinguishing Features -If ;he certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) ndt included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTI.FiER'S NAME NSE NUMBER (or Alfix Seal) � ICE7 TITLE �` -------�..1A. .....'NA ...._...------ ---- •....... .... -- C� l// L �h C / dU 2 S/ �- .. ... �ES T S u ►2 V EY i rU ADDRESS --- /, CITY — - - --- -..-. SIGNATURE Copies should be made of this v. STATE ZIP DATE PHONE �U<-US/ Z_Sr qq 01-7 L ----------------- 1) community official, 2) insurance agent/company,..and 3) building owner. ON WITH SLAB ON PILES, BaSEMEhtEN? PIERS, OR COLUMNS A V ZONES ZONES A V 201:ES ZONES ZONES RECERENCE LEVEL BASE FAZE FERc.+CE IF-•�—' tc /a'tCN LEVEL ... .....:..:.: i is h -'.E .`. ��%�.�:•:. 'L.00. ..t:, "•:).�: ADJACEuT '..i,.:. r,c NCE I BASE E['E J.71UN REFERENCE AOjACENT GRADE I %L000 �LEVEL GRADE I ' •'� :; i it . .., ADJACENT. �'; GRADE The diagrams above illustrate the points at which the elevations Ehouid be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top Of the reference level floor. Elevations for all V Zones should be measured at the bottom o'f the lowest horizontal structural member. RECE ELEVATION CERTIFICATE O.M.B. No, 3067.0071 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 AUG NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevalillIfErOW(001-wassary to ensure compliance with applicable community floodplain management ordinances, to determine the prop5U Rd1DBbiQd:016rw titrate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB). You are not required to respond to this collection of informatiort unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIL NUMBER OTHER DESCRIPTION (Lot and Block Numb rs, etc.) — 41-6) 3'-O3 CITYSTATE ZIP CODE yr'c. L 9 -5" 6 A SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper -FIRM (See Instructions): t. COWAUNITY NUMBER D� v� 7 2. PANEL NUMBER o�"S� 3. SUFFIX C 4. DATE OF FIRM INDEX ,J vfve ° �8 S. FIRM ZONE A 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 339,10 i . Inoicate ine elevation datum system used on the FIRM for Base Flood Elevations (BFE): I" NGVD '29 U Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM; and the community has established a BFE for this building site, indicate the community's BFE: ! I 1 1 L feet NGVD (or other FIRM datum–see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicat� the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation ofI I5L4L2..L}feet NGVD (or other FIRM datum–see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of ' I ! I !.,_._: feet NGVD (or other FIRM datum–see Section B, Item 7). (c). FIRM Zone A (without BFE), The floor used as the reference level',rom the selected diagram is Li— L-1 feet above or below !_.J (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I_ L1.LJ feet above ❑ or below(check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordancL7-N'o e with the community's floodplain management ordinance? ❑ Yes '`1 '' Unknown u 3. Indicate the elevation datum system used in determining the above reference level elevations: I�NGVD '29 7 Other (describe under Comments on Page 2'.. ,•NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7), then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes YNo (See Instructions on Page 4) 5. The reference level elevation is based on: Xractu•al construction ..__ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: 3.3 Section B, Item 7). ,( feet NGVD (or other FIRM datum see SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain mariagement ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I I •L_feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, AUG 96 REPLACES ALL PRE140LIS EDITIONS SEE REVERSE SIDE FOR CONTINUATION RESIDENTIAL 041-43-0-003 92-4463 BPEM HEGENBART, Tom 2931 Clark Rd, Oroville new sf PZ 3 -9, oBlc.- to i�MovGc-t� P ��o(Z To JOB FINALED (Date) Signature f�E FIA/4 L J=OK . O =-Not OK ==NoApplic Readable MOBILE HOMES y Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (� = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ / Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. - Water Htr.: Vent -Access -Combustion Air -Baffle --------------------- -------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------------- -------------------- - 19. Shower Pan; Test, First Floor -Tub Access --- - 20. Test -Tub & Shower, -- Second Floor -Tub Access ------------------------- ------------------ 21. Gas Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------ --------------------------------------------- Date Card B -t Date Card E-1 Date ELECTRICAL (Permit) OK except p's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------- - --------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------ -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------ - -------------------------------------------------------- 22. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------- ---------------- - --------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------------------- ----------- - - --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect - ---------------------------------------------------------- -------------- 31. -- Equip -Clearances-Panels-Motors-Mech. Equip. - - --------------------- --- ------- --------------- - ------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- 33.-Smoke-Detector --------- - 33.SmokeDetector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------- - ------ - - -- - - ------- -- -- -------------------------- ----- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except k's 34.- A. -C.- Ducts Insulation & Support -------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------- ---------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------ ---------------- --- - --- ---------- 37. Furnance-Vent: Access -Comb Air -Return -Air Vent -115 outlet ----------- - -------------------------------------- -------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------- - - - - - -- - - - -- - - - - - - Date Card B-1 Date Card B ----------------------------------------------------------------- -------------- Date Card B-1 Date Card B Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ------ ----------- - ----------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -----------------------------------..._ 41. Bearing Walls over Girders & Floor Nailing ------------------- ------------------------ -------- --------- -------------- 42. Draft Stop in Walls (rat proof) ----------- ---- --- - -- - - - ---------- - -- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - ------------------------------------------ -------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) ` Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ---------------------- _____-52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ---------- --54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- - 55. Siding -Nailing Veneer ----------------------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ----------- --------- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------------- 60. Infiltration -Walls -Windows ---------------------------- Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------- --- 64. Bedroom Exiting -------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel. Breaker Sizes & Labels ---------------- ------------- -------- - ------------- 67. Stairs -&-Rails------ 68. Fireplace or Stove: Clbarances-Hearth 69. Elec. Outlets at Wood Panel Int. & Ext. -------------- 70. -----...-----70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------- ----------------------- ------- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- 73. A.C. Duct in Garage -Damper ------- ----------------------------- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection -------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7 . Insulation -Foam -Looked in -Attic ❑ Yes --------------------------- -- - 78. Guard -- Rails & Deck -Construction -Post Caps ----------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes Planters ❑ Yes ❑ No ❑ No: dt Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plb A fiance -Fire lace. -Clearance to Openings - - - - - -- -- -------------------------------- ------------ -- ------ 84. Water Well: - Disconnect, Electrical, Plumbing --------------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ....... -- -- ------------------------------- 87. Glass Protection - - --------------------------- 88. Corrections from Previous Inspections ----- ------- ------- ---------- 89. Gas Test -Meters Tagged; Gas -Electric - - -- ------ - ---- ---------- -- ------- 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates ----- ------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------- - -- Date Card B-1 Date Card B-1 ------- - --------------------- - - - - - - --- - Date -----------------------------Date Card B-1 Date Card B-1 Comments at Final: --------------------------- �. -rte esw - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 61 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ? ., ,IL APPLICATION AND PERMIT •IG"" '"'7T'" ASSESSOR PARCEL NUMBER 041-430-003 ZONING MM -3 BUILDING PERMIT OWNER en TELEPHONE 891-4630 SO FT OCC. BUILDING VALUATION OWNER'S MAI ADDRESS 2931 Clark Rd., Oroville 95965 CONTRACTOR'S NAME LEPH Owner TE ' 1,436 R 77 544.00 1,051 M 1$.918.0y0 390 C 5• 0ONE 70.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace A 1,,5W.00 Total Valuation $ 103,032.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 155.00 Permit Fee $611.50 Plan Checking Fee $305.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $952.25 31 Clark Rd. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap J31 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 11 7.001 7.00 USE OF STRUCTURE SF EN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 11 5-001 5.00 Building sewer 1 15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New[I Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: New 2 Bedroom Single FAmily Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO tooOA) 1 37.50 NEW CONST. DWELLING OC1 tr 3.54sq.ft. OR ADDNS. � ACC. BLOGS. L �� i{ 87.05 NEW CONSTFL MUL TI.OUTLET NON -R ESI D. BRANCH CIRCU ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. EX. OCCU 20 75 p ourLETs OR FIXTURES Ex. Occup. OUTLETS ((RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 „ Permit Fee $J6 A.W • -' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such50 provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating j 9.01 9.ou Cooling 1 9.00 9.00 Hood 6.50 Ventilation 2 .50 9• Permit Fee $ $� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify antl keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said`County in consequence of the gfantin^g of this permit. ` X r._.rI' Date i Signature of Applicant - Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. d Mobile Home Installation Fee S Energy Inspection Fee $140,00 occCONSTT o s PE TOTAL FEE $1, 7.25 HAz -� D'E'S IMP -- FYO D coF _ PARCH Po HD rj Is�E-j This permit is hereby issued under the aPP licabie rovi P Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. >DIRECTOR OF PUBLIC WORKS By _ -' F'Cj - Dater PERMIT EXPIRES Date 1303$7 / .R Receipt No. "" �f�t• , /!I t5 ��,„ "" ��Ci!a WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPEC40R. GOLDENROD -APPLICANT PERMIT NO. 3102-76P,F (Util, MH) a s, • PERMIT EXPIRES OWNER — TOM HPGFN13ART - CONTR. owner LOCATION (A.P. 41-43-3 � W/S Clark Rd, across from Clear Creek MH'Estates, Paradise A, c .l Temp. Power Pole c� Called PG&E Temp. Elec. Serv. S Called PG&E Yemp. Gas Serv. '13 OVIVA Called PG&E /FNAL OB 7 IED r7/ i (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING_ INSPECTION RECORD BUILDING BUILDING (Cont'd)' Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa 10 Slab Slab Patio Footing Masonry Wal Reinf. Ste Bond Beai Framing Stucco Mesh Scratch Brown Door Closer Firewall ° Parapets Restroom Finish Windows Siding Roof Sheathing Roofing ,Fdn..Vents Garage Vents Insulation Prov. for physically handica ed Conformance of ex. Coolinc Ducts Ventila Final FIREPLACE MECHANICAL PLUMBING Soll Piping list Floor 2nd Floor 3rd Floor Topout Water Piping 2. Sewer %%-- Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final DATE REMARKS OR COR ECTIONS �J- (NOTE: An entry must be made on this form each time you .visit the .job site.) E n • ii0}3.I ,i?liUiLl' lld5'1'ALLk'1 l0fl INSPECTION CHECK LIST 1. Is the mobilehome located wi.�_li � wired separation frim lot lines and buildings and generally conform ;to plot plan? Yc�s1 ?. Does they mobilehome have required clearances above ground? (Sec.5085) YeskNo_ 3. Are foot:i.n,s and supports properly sized, spaced, and braced ac per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesk No 4. Is the mobilehome level.? (Sec. 5088) Ye4e No 5. If ore than a single unit, a over connections properly installed? (Sec. 5088) Yes No 5, Water A. Is fle ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No - B. Test -'Does water piping withstand working pressure or 50 lbs, air test? Yes lko C. Backflow -If coa of State of California approved, does station have backflow device and pressure -rel' v lve? Yes No 7. Wastes and Drains rLI A. Is connection made with Schedule 40 DWV•and have flex connectors at each end? Yes No .B. Does i.t have minimum per foot. slope and is it properly supported? Yes �o C. Are any leaks detected in drainage system after runninllons of water through each fixture including washing machine standpipe? Yes No D. Ifcoach is not f California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an,approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other -than the mobilehome connector. Yeso B. 'fest OK as per following procedure? Yes 7/ Ydo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn, on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes/No 9. Electrical A. Is service lai^ge enoklgl. to provide adequare amperage to mobilehome (must equal rating of mobilehome (aith a. ::;in.u:um o .100 amp) andother facilAiE!"; on lot, i.e., water pumps, �arat,e, cabana,etc.','Yep. No /f B. Is ther.� proper. clearances around panels? Yes" No C. Is power supply cord or feeder assembly properly fused?, Yes 4-lNo_ D. Is continuity test satisfactory as per the following procedure? Yes UNo_ 1. De -energize electrical wiring syste:a of the mobilehome at the pedestal. 2. Duke sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Swi.rch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1, --.ad of a test'instrument to the mobilehome grounding conductor and tie oti�.eY lead to each wobllCicuirie Supply CofriiliCtor, llii iiiiliig YLEUL'rai. apply 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, -gas line,, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;r. ;hall then be made between :he grounding electrode and the chassis of the mobilehome. Upon sati:>factory completion of the electrical tests, the lot or site service equipment may be approved for energizing. .(, Is job card signed by health Department for water and sanitation? 1. l.. If everything ca: ay, sign off card and ta- services. �iUIiTLc:;IUt^.L DATA Mai nifacturer and/or Namestyl.e ___%V' �✓! 'Length, Width Vehicle Serial No. _<�7 .State Identification No. Ade;itional Info -nation or Cormp.ents: - COUNTY OF BUTTE —,; DEPARTMENT OF PUBLIC WORKS ov ' 7 County Center Drive-`..Orille, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT , id authorize repr�serstfves of the County of Butte to enter upon the above-mentioned 1.9,perty for inspection purposes. Date Si)/. t.rre of ermitee or Agent Receipt No./ 157 9 (0 7 White-D.P.W. — Yellow -Assessor — Pink inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR-CrF PUBLIC WORKS BY Date/ 7-" z'3 - 7 1 ilding permit expires Date BUILDING OwnerSQ. a .y �-r- FT. OCC. BUILDING VALUATION Mailing Address 44 Telephone No. Fireplace Contractor Total Valuation /1/ t? ,�� Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address L Yo PLUMBING No. @ FEE PERMIT FILING FEE $3.00 05 7-,o9,7-_5 Each Trap 1.50 19 ✓ A d i Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. I-" L�,3 — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FkesT Sarnratien Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd '$ Parcel Appr 'a Plans A Val Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER B- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /y GG �'To Al pv' ¢rr�-, o t '� L%'�%^'% 6 Main service soov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 00 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ®. Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.CCUP. &� 2¢Sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y BAL@25101 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 fam exempt from the Contractors License Laws of the State of California. , Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. GI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances andPERMIT and State Laws rel�.ia1g-tq building construction, and hereby S ;�GGs,►Tio.�/ �b�eiC FEE $ authorize repr�serstfves of the County of Butte to enter upon the above-mentioned 1.9,perty for inspection purposes. Date Si)/. t.rre of ermitee or Agent Receipt No./ 157 9 (0 7 White-D.P.W. — Yellow -Assessor — Pink inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR-CrF PUBLIC WORKS BY Date/ 7-" z'3 - 7 1 ilding permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner'. s name:. CN 1-4 2. , Installer's name: rw,�C;� 3.. Is the site currently under permit? Yes No (If yes, furnish permit number OR Is the site an existing site? Yes / / No (,If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 .ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes /!// No (If no, clarify ) 5. What is the mobilehome electrical rating? -- Amps 6. What is the mobilehome site service rating? G J Amps 7. What is the mobilehome site circuit breaker rating? -------------- Amps. 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No (If yes, identify.the load and size: (Load) (Amps) 9.. What,'is the mobilehome site gas pipe size? ---------------------- 3/y (in.) 10. What is the type of gas service?_______________________i_____ Natural / / LPG /,777' 11. What.is the gas pipe length from meter or tank to the.mobilehome? ,!-_o (ft.) 12. :What is the mobilehome gas demand? ______________________________ (This information not required if pipe length less than 6 ft. on natural gas or less -than 50 ft. on LPG.) (BTU) i MOBILEHOME S1iPPOkf DATA Mobilehome Mfr. Setup Model No. Year C-3 Width(ft) (ft.) Length .. _�` ) (ft.) Ekpando Size —_ft.x ! ft (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if not on .file with the County of Butte). —��Footings -(check. bne) Wood.either , pressure treated or fdn.. grade. ' Lj 2. Concrete pad. / / 3. Other,: specify Supports (check one) 1. Concrete block 77K2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier Spacing �' - �' ►, Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. COUNTY OF BUTTE — 6E1k�4RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroviile, California 95965 Telephone: 534-4541/(),;") — / (— APPLICATION AND PERMIT Receipt No. r, White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Ilding permit expires Date 7 BUILDING Owner -7 0— � SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address (a -J e� � K (� Y/ 4464,01,5' J 'e 'n j,5 el ephon� 6 Fireplace Contractor �,tlJ��� Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _— 5 CL4[G !C C.4 @,@OS`.S Each Trap 1.50 WI Cd[. , Repair drainage or vent piping 1,50 Water piping A-9 Each gas water heater or vent 1.50 f A. P. No. _ 41 J ._ 3 / �CQ� 0 Sins Gas piping system 1 - 5 outlets a— Each additional outlet .30 Felb4rl W, Fire Dept. Fire Zone Use Permit Building sewer @0 /Q— EQA Parking PlarBldg Declaration Parcel Map 60' R/W Improve ents Lawn sprinkler system 2,00 ans Recd Parc pproval I Plans Approval Permit Fee $ — $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2,50OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. ) 2�sgft NEW CONSTR. (MULTI.OUTLET NON.RESID, 1 BRANCH CIRCUITS) 2,50ea NEW CONSTR-POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR, CONTRACTORS ICENSE LAW I am license nder 3 e vis of Chapter 9, Div. 3, of the State of ifornia .Bu ess & rofessi ns Code under the name sty e o . Ex. Occup(OUTLETS OR FIXTURES)@�" BAL@1 FIXED APP LNS, OR Ex. Occup • OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 [Misc. License Classification 14 Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby52 authorize repr ve he County of Butte to enter upon the above -men ' ed pro y for nspection purposes. Date �—l9'%� Signa re of P rmitee or Agent TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P IC WORKS C�� �/' jU_ - Receipt No. r, White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Ilding permit expires Date 7 `' ' y • `{ } t �V�, Y i y � « l �X i i( �)>• i �'� t a s. i T f i 4: iln 4 � t � ! � 514 (. ' y t � "'t• "fit � ' 9 .y s ' ,,. ` �;;`c ��tL", tct {JS r .'y .� .�l � ,.�:, . F t NORTHSTAR ENGINEERING 20 Declaration Drive Chico, CA 95926 (916) 893-1600 FAX (916) 893-2113 STRUCTURAL CALCULATIONS PROJECT JOB NO. 412-3 LOCATION OR -OV I L(i E, GA DATE CODES: Uniform Building Code, 1991 Edition RISC, Manual of Steel Construction, 9th Edition ACI, Manual of Concrete Practice, 1988 Edition AITC, Timber Construction Manual MATERIALS: Concrete:f'c=2500 psi @ 28 Days Masonry: f1m=1500 psi Mortar: f1c=1800 psi, Type "S" Grout: f1c=2500 psi @ 28 days Steel Reinforcing: A-615 Grade 40 for #4 & smaller A-615 Grade 60 for #5 and larger Structural Steel: ASTM A=36 Steel Pipe: ASTM A53 Grade B Steel Tubing: ASTM A500 Grade A or B Machine Bolts: ASTM A307 Grade A Anchor Bolts: ASTM A307 Grade A Wood Connectors: Simpson Strong -Tie or equal. Type "B" Holdown anchorage. Wood: Light Framing: Const Grade Douglas Fir Struct Lt Framing: #2 Grade D.F. Joists & Planks: #2 Grade D.F. Beams & Stringers: #1 Grade D.F. Posts & Timbers: #1 Grade D.F. Plywood: A.P.A. Rated Sheathing, Grade CD, UBC Std 25-9 Glue -Lam Timber: ANSI/AITC A190.1-1988 & UBC Std 25-10 Simple Spans: 24F -V4 Combination Cantilevers: 24F -V8 Combination SPECIAL INSPECTIONS ARE NOT REQUIRED LOADS: Roof Live Load : I& 1P.5 Floor Live Load: Seismic Zone: 2 Wind Speed.: 7"5 M �1H Exposure: Allowable Soil Bearing: « Page 1 ofj Q 11 BY: TMP DATE: 'L 1 �o °� 3 JOB NO: 4� Z,3 PAGE Z OF 3 NodhStar ENGINEERING Civil Engineers • Planners • Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 �E -16tN OF GiARAUE, Doo(z HE,5ADE,�t� Lc�ADIN(� A`� DST R1''IINGD ay L-0N�-qFeL L -0,J LUM��R GO- INC, 0 0 Pl?N I N N- Z P. P P --4L 0 I ! Z Z RZ P--00 r- L0AD5 DL = LS P✓F L.(. = 110 PSF P g57 /Z +Z) - 031 = .S9 h 104 I . '1� _ �. 44 K I oz -oz R = 1. g4 K IOZ04 12, 4.- K M m rix 4 -- Z - 1z.4 � �N 3 < 1 �5 s, �I G rax S 0,15 6 S'/8 x Z4F - V oN �x to I=TS. A FTZ %l�� 2'— Con �QuAPE No. C34257 * 704— Ile Il t!F C 4't,1 t R. C. E. 34257 Reg. Expires 9-30-95 Po,�T BY: T M DATE: JOB No: 4q7,3 PAGE 3 OF NwthStar ENGINEERING Civil Engineers * Planners e Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 POOZ H 1-5: A Z-OAPINIC2, A5 P -2Y Z,0M(-,F-E,5L�-0kj LIUML3e-p- C-0. P I F-OOF LOAD� c2PSF - + I 12_ Z, K /0Z -0Z P- = Q54 K- T:-iE-9e-F=0P-- F- 7 = 7. 4- 7-4 7. MMAX 6' -27 = ISS. X Zoo Z- 00 1 - L, — ) (a I No. 034257 i Ono 'A Civil, Ile R. C. E. 34257 Reg. Expires 9-30-95 Irz TCS 7.4 '31 Z. 1. r-7) �-- � C661 8 0 Nvr 3uAa do J mnoo Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEIMIT FOR RESIDENTIAL DEVELOP.MF-NT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building er t 93-00961 zC o P mi . I 93-000961 The property described herein is adjacent 1 Rec Fee 8.00 to land or included within an area zoned I Cash Recorded I 8.00 Z or agricultural purposes, and residents Official Records I of this property may be subject to incon- County of I veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I and fertilizers; and from the pursuit 10:25am 8 -Jan -93 I PUBL XX 2 of agricultural operations including, but not limited to cultivation, plowing, _ spraying, pruning, and 'harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property. situate in .the County of Butte, State of follows: Date: /— _�/_ /& State of Ch ) ) SS. County of ) ti OFFICIAL SEAL STACEY MORRIS ® NOTARY PUBLIC' CALIFORNIA BUTTE COUNTY r n My Comm Expires Mar 31, 1995 California, described as 93-00961 On this the day of 19��, before me, the undersigned Notary Public, personallt6 appeared Personally known to me. � Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) C"-e— subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNES WHEREOF, I hereunto set my hand and official seal. , Present A.P. No0.`O�i�-_�/�b-�®03 FND OF 1 cony -a -portion of the Southwc-st_ quarLcr of Section- 22,--.1'awnshi:p North, Ra:,qki 3 and more particular.Ly (..uf;(:ri!,c6 a. -I CC)!.!W.1."1N.CI1 G at the Southwest corner of said Section 22; thence aloi:(--. the I -lost line of said Section, North 000 44' 10" E'ast, 1,151.61. feat. to the -true, point of bcrj.Jnr;ing for the parcel herein thence from said true paint of beginning, continuing along said Vest lint:, 1.1orth 000 W 10" Last, 603.82 feet; thence leaving. said :-:est North 890 351 40" Y..asL, 1,796.63 feet to a point in the ccriturlilic of -Clarl: Poad; thence. along said centerline, South 1.90 0211 Vc-st, 040.3.7 feet to a point which bears North 890 351 401, Last from said truc poinr- of beginning; thence South 890 351 40" 11u-st, 1,595.63 fc^.t to the point of bcSinninq. EXCLPTING THEREF110,M. the Easterly 30.00 feat lying within Cl'a)-j" Izoad. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION o 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75,41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESS ORPARCELNUMBER 041-430-003 ZONING BUILDINGPERMIT OWNER HEGENBART, THOMAS TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 2931 CLARK CONTRA:TOR'S NAME SRM TELEPHONE 534-4795 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filinq Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2931 CLARK RD Energy Plan Checking Fee $ SPECIAL INSPECTION $ 46.00 PERMIT FEE $ 66.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIPv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other ❑ Describe Work: FIELD COMPLETION OF MH FRAMING STATE OF OREGON —ALTERNATE COMPLIANCE INSPECTIONS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home T9TdT_WF 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 500V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. DS. UDS.1 s0 Fr. NON.RESID. T. H CIRCUITS MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. JI OUTLET OR FOCTURES Ex. Occup.BAL 20 Q 1.00 @ .50 Ex. Occup. GuT,E�°Ts" p I6.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number �z.,,. —61,7 (The above sections need not completed if the permit is for work of a valuation of one hundred dollars ($100) or less.)15r that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the work r ' compensatio rovisions of section 3700 of the Labor Code, I shall fC It comply wi se pr visi ns. X Date nature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPEcertify TOTAL FEE $ 66.00 HAZ. p. PEES IMP FLOOD COF PAgCEI - HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON 77 —5% the applicable provisions Resolutions to do work been paid. Date 946 ® 0 Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY-ASSESSO PIN -INSPECTOR GOLDEN D -A PLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 41 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMfT o. (Rev. 11/96) APPLICATION AND PERMIT -17 ~9a9oRPARce.wYso1G �(� L(,3 Q ^ O� `7j n°'"'° BUILDING PERMIT.. o>wWR J o �� "`�"°"` SO. FT. OCC. BUILDING VALUATION 0WNO17 --A A00Re98 L 6�� _ CONrRACTORY RAW T!LlPIgN ' o0wrPAcMAI MALWO ADCAM oo►1sTRuerloN uhoeR —Fireplace i LOCOS Y41N0 AWAM Total Valuation t ARarrrEcr OR raolNeen ucE►1se No. —FiringFee E 20.00 AROMCT OR 01Mm 'S MAaJNO AoonUS Permit Fee i Plan Checkin Fee 5 sulD00 ACOMSS/ i C L. AW Energy Plan PhwAing Fee t 5 0 # PER IT FEE = 0 0 LOT NO. susavecNewurt PAReft MAP PLUMBING PERMIT Fting Fee 20.00 USEOFSTRUCTURE Each Tr — 7.00 Solar or heat pump water heater 23.00 i SF O Duplex O Mobilehome O Other Water piping 15.00 � sveesv Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition O Remodel O LUIn O installation O Other O Building sewer 15.00 Describe Work: �- Cd MZ7T" l 011v Q°� � Mobile Home I S I G W @20.00 `� { PERMIT FEE _ t ELECTRICAL PERMIT Filing Fee 20.00 1 Main Service =oo.1 23.00 Main Service 200 To too" 46.00 NM COWT. owslonBOOC1JP. 3.59 011 ONS. i AOC. Kw. i NOWRm10. YUITLOUREr @7.50 POWER APPAP.%TM1 999" OLMO CA EX. Occup. ounLT oR F nURH m e 1.00 aAL v .>0 Ex. Occup. oAPR�.oR 0%rO s LM RFA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Csyrgo's PERMIT FEE _ � MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt ! Mobile Home Installation Fee $ Energy Inspection Fee E occ coral' TYPE TOTAL FEE $0 CJ NAZ 0. fEES WP F D I COF PARCEL I PO rc I 6SUf This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 3 3`3 c;� By Date ReceiptNo. PERMIT EXPIRES ON I 6 ('t G �.•:.O_�.i� 1\jam 11 .." t w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSORPARCEL NUMBER ,- 4_3 vU ZONING Gm�y BUILDING PERMIT OWNER /o TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOEtR UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS _ Permit fee ,l PLUMBING PERMIT Filing Fee 10.00 t� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE t SF ❑ Duplex❑ MobilehomeZ Other J SPECIFY } Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[] Installation❑ I Other Describe work: GEP-� G/G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS10010.00 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one P Y P er j Y( (: ) I I El am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and "Professions Code and my license Is In full force and effect. License No. Classification ©' I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.al) , oR ACDNS. ACC, BLDGS. h25gft NEW CONSTR. MULTI.OUTLET NON.RESIO .BRA CH CIRC ITS 2.50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 11AL030 FIXED APLNS \ Ex. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE ; I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. j ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. � I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon -the above-mentioned -property for inspection purposes. I also agree,to save, indemnify and-keep-hajmless the County of Butte against all liabilities,,.judgments, costs, and experfses which may in any way accrue against said,County in consequence of the'granfing o this permit. �._;,f -'� i y X-- - w,.n-rasL �'/� !.t ✓ Date Signature of Applicant — Owner �J Contractor ElAgont ❑ An OSHAAt permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ U occu P, C0NST.T7P_FJ SCHOOL FlOOo PARCEL PID Ho 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC , BY " PEREXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS t-/ft /Date/—,?- / jjcL((i� A ��ir� Receipt No. WHITE-D.R.W., YELLOW-A5a ESSOR, PINK -INSPECTOR, GOLDENROD-AP►LI CANT 1' .-.-.rc,ty'q.Ar-:::l��Y`":�y..eZ•..j..tyte'^K�.,:3i-^"�.#;.'�-.y���•sy'"'i"�s's..,.:.. -r .. � .. , COUNTY OF BUTTE ° DEPARTMENT OF PUBLIC WORKS° 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 COR ECTION NOTICE ,ry WNEX PERMIT NO. A roctine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. V" n :4 :.k • ti 'j Inspector Date x. a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N / -�5—J— ASSESSO PARCEL NUMBER ,- TaJ D O ZONING BUILDING PERMIT. OwNegg.32 EPHONE/I L SQ. FT. OCC. BUILDING VALUATION 0 ER S MA LING ADDRE'SS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDEIR UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER 7 LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee 9Y g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeCA Other � LL_F SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G FW I 10-00ea_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities>❑ Installation❑ Other p Describe work: ��71G�� L�`�?O Z� ��CI�rJ ermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LE00V ORSS Main service 100 AMP 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCVP.y OR ADDNS. ACC. BLDGS. , 12sq ft NEW CONSTR.U LOUT LET BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050t DAL030 FIXED A Ex. Occup. OUTLETS PLISIS IRESID IKEA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring . g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,—1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shat I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enteru above-mentioned property for inspection purposes. I also agre o save, bndemnify a mless the County of Butte against all liabil' les 'udg ents, c s, a expe ses which may in any way accrue agate aid n in co equen of t gran 'ng this permit. / X ' Date % Signature of Applicant — weer Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE SCHOOL FL000 PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated ab a for which fees D R T PUBLIC By PERMIT 661RES Date the applicable provi- resolutions to do have been paid. WORKS _� �� Date t Receipt No. WHITE-O.P.W.. YELLOW-ASSE35011, PINK -INSPECTOR. GOLDENROD -APPLICANT A` COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed ' construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, sup rvise, and provide the major work: Name Address City Phone Contractors. License No. 5. I will provide som -.of the work but I have contracted (hired) the following persons to pr Ovid the -work indicated: Name Address . Phone Type of Work Signed: Property Owner' Social Security Number Date /— C/-- 5? el NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COMPUTER METHOD SUMMARY Page 1 ' C -2R ProjN^~Title! ......... ' / Date........ O2/04/93 , .' ��~_' Project Address........ 6910 CLARK ROAnO/_-°� ---------W----------- - - OROVILLE | ^ | Docume tation Author... Robert A. Mangrum | Building Permit # | Company................ Paradise Mech. Design | | Telephone.............. (916) 877-3979/877-0602 | Plan Check / Date | | ) Compliance Method...... MICROPAS3 by Enercomp, Inc. � Field Check/ Date | Climate Zone........... 11 ------------------------- i. -------------------- > MICROPAS3 v3.11 File-8RABUIL Wth-CTZ11 Program -FORM C -2R | | User#-MP1342 User -Paradise Mehh. Design Run-R/A BUILDERS ENHANCED } _______________________________________________________________________________ ================================================================= = MICROPAS3 ENERGY USE SUMMARY = =----------- _________________ = "= = , = Energy Use Standard Proposed Compliance = = (kBtu/sf-yr) Design Design Margin = = _______________________ ---------- __________ __________ =, ^= Space Heating.......... 30.33 26.03 4.30 = = Space Cooling.......... 24.42 20.46 3.96. = = Water Heating.......... 14.91 14.91 0.00 = = Total 69.66 61.40 8.26 = = = = *** Buildinb complies with Computer Performance *** = ================================================================= ` GENERAL INFORMATION --------------------- Conditioned __________________ Conditioned Floor Area..... 1368 sf Building.Type......... ..... Single Family Detached Building Front Orientation. Front Facing 174 deg (S) Number of Dwelling Units... 1 ' Number of Building Stories. J. Weather Dat'S Type.......... ReducedYear . ~ Floor Construction Type.... Raised Floor (Pactage E) Number of Building Zones... 1 Conditioned Volume......... 12219 cf Footprint Area............. 1368 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 30 % of FA Average Ceiling Heibht..... 8.9 ft BUILDING ZONE INFORMATION Floor # of ial Cond- Area Volume Dwell Th e r m o s t nt 'Area Zone Type itioned (sf) (cf) Units T (sf) ______________ _______ __________________ _____ ___�_-__ HOUSE Resid6nce Yes 1368 12219 1.00 k ��`��=- n/a ��- �-^ �� L;tc4c SK L'tes To rn2e zxq 8Q 7Wo2k2=� -To, to I I (o Lid e- o Sv PK "S Se Tk e 1;U � w p( pW g � oma-- IM e k l •'o �� @e o K1-k,t' s co, COMPUTER METHOD SUMMARY Page 2 C -2R =============================================================================== Project Title.......... R/A RESIDENCE Date........ 02/04/93 | MICROPAS3 v3.11 File-8RABUIL Wth-CTZ11 Program -FORM C -2R | | User#-MP1342 'ser -Paradise Mech. Design Run-R/A BUILDERS ENHANCED � ' --------------------------------------- _---------------------------------------- OPAQUE SURFACES , ` Area U- Insul Act Solar Location/ Form 3 Surface ____________ (sf) �_____ value R-val � Azmth Tilt Gains Comments Reference �_____________ HOUSE ^ _____ _____^----- ____ _____ ------------ _--- � 1 Wall 370 0,06� � R-19 174 90 Yes Front wall W.19.2X6.16 2 Wall 174 0.065 R-19 264 90 Yes Left wall W.19.2X6.16 3 Wall/ 312 0.065 R-19 354 90 Yes Back wall W.19.2X6.16 4 Wall 127 0.065 R-19 84 90 Yes Right wall W.19.2X6.16 5 Wall 223 0.065 R-19 264 90 Yes Right wall ' W.19.2X6,16 6 Roof 1352 0.033 R-30' 0 0 Yes attic R.30.2X12.24 7 Door 34 0.330 R-2 174 90 Yes front door None 8 Door 20 0.330 R-2 174 90 Yes front door None 9 Door 20 0.330 R-2 264 90 Yes front door None 10 Door 6 0.330 R-2 264 90 Yes front door None 11 . Door. 14 0.330 R-2 354 90 Yes front door None 12 Floor 1368 0.037 R-19 0 0 No to crawlspace FC19.2X8.16 ' ^ GLIAZING ________________ SURFACES SC Interior SC Area # of Frame Open U- Act Glass Shade Gls+ Surface ----------- (sf) Panes _____,_____ Type _______ Type ______ value Azmth Tilt Only Type Shade HOUSE . _____ _____ ____ _____ __________ ------ ____HOUSE 1 Window 22.3 2 Metal -Slider 0.65 174 90 0.77 None 0.66 2 Window 40.0 2 Metal ^ Slider 0.65 174 90 0.77 None 0.66 3 Window 40.0 2 Metal Slider 0.65 264 90 0.77 None 0.66 4 Door ' 11.0 2 None Hinged 0.65 264 90 0.87 None 0.75 5 Window 10.0 2 Metal Slider 0.65 264 90 0.77 None 0.66 6 Windo` ' 12.0 2 Metal Slider 0.65 354 90 0.77 None 0.66 7 Door 20.0 2 None Hinged 0.65 354 96 0.87 None 0.75 8 Window 30.0 2 Metal Slider 0.65 354 90 0.77 None 0.66 9 Window 40.0 2 Metal Slider 0.65 354 90 0.77 None 0.66 10 Window 10.0 2 Metal Slider 0.65 354 90 0.77 None 0.66 11 Window` 40.0 2 Metal Slider 0.65 354 90 0.77 None 0.66 12 Window 6.0 2 Metal Slider 0.65 39 90 0.77 None 0.66 13 Window 37.5 2 Metal Slider 0.65 84 90 0.77 None 0.66 14 Window 40.0 2 Metal Slider 0.65 84 90 0.77 None 0.66 15 Window, .24.0 2 Metal Slider 0.65 84 90 0.77 None 0.66 16 Window 4.0 2 Metal Slider 0.65 '84 90 0.77 None 0.66 17 Window 8.0 2 Metal Slider 0.65 84 90 0.77 None 0.66 18 Skylight 16.0 1 Metal Fixed 0.58 174 0 0.77 none 0.77 , ` ' COMPUTER METHOD SUMMARY Page 3 C -2R � =============================================================================== Project litle.......... R/A RESIDENCE Date........ 02/04/93 � | . M�CROPAS3 v3.11 File-8RABUIL Wth-CTZ11 Program -FORM C -2R | | User#-MP1342 User -Paradise Mech. Design Run-R/A.BUILDERS ENHANCED � -------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS THERMAL MASS ' Thick ---Window-- ------Overhang----- ---Left Fin--- ---Right (sf) ______ Fin-- Cap _____ . Area Location/Comments _______________ HOUSE` Left Rght ________ --------------------------- _________________________HOUSE ^� 1 Inter�orHorz 166 Surface .. - (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght-Ext 0.59 Dpth Hght HOUSE ----- ----- ----- ---- ---- ---- ---- ---- ---- --- ---- ---- ------ 1 Window 22.3 6.0 4.0 2.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 40.0 6.0 4.0 2.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 40.0 6.6 6.0 19.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 4 Door, 11.0 5.0 .2.2 14.5 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 10.0 5.0 2.0 4.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 12.0 3.0 4.0 2.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 7 Door , 20.0 5.0 2.0 2.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 8 Window 30.0 5.0 6.0 26.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window' 40.0 6.6 6.0 26.0 0.0 n/a n/a n/a. n/a n/a n/a n/a n/a 10 Window 10.0 5.0 2.0 2.0 0.5 n/a n/a n/a n/a n/a -n/a n/a n/a 11 Window` 40.0 6.6 6.0 2.0 0.5 n/a n/a n/a n/a n/a -n/a n/a n/a 12 Window 6.0 3.0 2.0 2.5 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 13 Window 37.5 5.0 7.5 15.5 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 14 Window ' 40.0 6.6 6.0 15.5 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 15 Wi`dow 24.0 4.0 6.0 1.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 4.0 1.0 2.0 1.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 17 Window 8.0 4.0 2.0 1.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a EXTERIOR SHADING F ------------------- _______________. Area Shading SC of , ^ Surface ____________ (sf) Type Ext Shade ' HOUSE ______ _______________ ------------ ________HOUSE . � 3 Window 40.0 Bldg Shade 0.20 ^ 4 Door 11.0 Bldg Shade 0.20 5 Window 10.0 Bldg Shade 0.20 13 Window ^37.5 Bldg Shade 0.20 14 Window 40.0 Bldg Shade 0.20 THERMAL MASS m Area Thick `Heat Conduct- Surface Mass Jype (sf) ______ (in) Cap _____ ivity ________ R -value Location/Comments _______________ HOUSE` _____ ________ --------------------------- _________________________HOUSE ^� 1 Inter�orHorz 166 1.0 24.0 0.67 R-0.0 TILE:ENTRY/BATHS 2 InteriorVert 52 4.0 21.0 0.59 R-0.0 HEARTH ' m ' —COMPUTER METHOD SUMMARY Page C -2R =============================================================================== Project °[i±le.......... R/A RESIDENCE Date........ 02/04/93 =============================================================================== , | MICROPAS3 v3.11 File-8RABUIL Wth-CTZ11 Program -FORM C -2R | 1 User#-MP1342 User -Paradise Mech. Design Run-R/A BUILDERS ENHANCED � ' _______________________________________________________________________________ ` o . - . ' HVAC SYSTEMS ^ ____________ . . � Minimum Duct Duct Duct 'System Type Efficiency Location R -value Efficiency .________________ ____________ _____________ _______ ----------- Gas _________Gas 0.866 SE Crawlspace R-5.79 0.835 AirCond 12.20 SEER Crawlspace R-5.79 0.869- WATER .868WATER HEATING SYSTEMS ^ _____________________ Capa- R-12 or Pilot System # of city Greater Effic- Standby Input Size Type . Heat (gal) Blanket iency Loss Rating (Btuh) Credits / ------_-T-. ---- ----- ------- ----------- ------ ------------ -------- -------- Water neater to meet minimum CEC Standards . ^ SPECIAL FEATURES/REMARKS ___________________ " ^ . . J . ' v " ^� . . ^ � . .�� . CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Pr- Title.....,.... R/A RESIDENCE Date........ 02/04/93 Project Address........ 6910 CLARK ROAD --------------------- Right Of, OVILLE | | Documentation Author... Robert A. Mangrum | Building Permit # | Company................ Paradise M�ch. Design | | Telephone.............. (916) 877-3979/877-0602 l Plan Check / Date | | Complianc:e Method...... Ill ICROPAS3 by Enercomp, Inc | Check/ Date | Climate Zone........... 11 ' --------------------- | . CROPAS3 v3.11 File-8RABUIL Wth-CTZ11 Program -FORM CF -1R111 | � User#-MP1342 User -Paradise Mech. Design Run-R/A BUILDERS ENHANCED | GENERAL ........ .... ..... ___ Conditioned Floor Area..... � Building Type......^....... ' Building Front Or- i` ntation. Number of Dwelling Units... Number of Stories.......... Floor Construction`Type.... Infiltration Control....... INFORMATION ' 1368 sf ' ^ Single Family Detached Front Facing 174 deg (S) 1 1 Raised Floor (Package E) Standard BUILDING SHELL INSULATION Component Insul ^ Type R -value Location/Comments � Wall Front wall, Left wall, Back wall � Right wall Roof ic Door front door ' w Floor to crawlspace GLAZING Glazing . Area # of Interior Exterior Framing Orientation (sf> Panes Shading' ShadingOverhang Type ' Window Front (S) 62.3 2 None None ' Yes Metal Window Left (W) 50.0 2 None Bldg Shade Yes Metal Door Left (W) 11.0 2 None Bldg Shade Yes None WindoW. Back (N) 132.0 2 None None' Yes Metal Door Back (N)2O.0 2 None None Yes None Window'' Back (NE) 6.0 2 None None Yes ' Metal Window Right (E 77 > .5 2 N Bld Sh de ''`� Metal Window Right (E) 36.0 2 Metal Skylight Horz 16.0 1none Metal THERMAL MAS ` _..... ..... .__ ^ Area Thickness Hard Surfa Ty"e (sf) (in)' Exposed mments ______ _________ ______________ __ ~ InteriorHorz 166 1.0 Yes ENTRY/BATHS InteriorVerYes ARTH - " CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 . CF -1R ======================================================== I MICROPAS3 v3.'11 File-8RABUIL Wth-CTZ11 Program -FORM CF -11F..' | User#-MP1342 User -Paradise Mech. Design Run-R/A BUILDERS ENHANCED � 0 ------------------------------------------------------------------------ Assumed System _______________ ' Gas AirCond 'ASSUMED HVAC SYSTEMS _____________ ' Assumed Duct Duct � Efficiency Location R -value ____________ _____________ _______ Crawlspace R-5.79 Crawlspace R-5.79 ACTUAL HVAC SYSTEMS . . Actual Output Manufacturer and Model # Actual System _________ Efficiency ___________ (Btuh) (or approved equal) Heating 86.6 ________ 80000 ---------------------------------- ________________________________Heating , Cooling 12.2 36000 Cooling Coil CEC Maximum output for Gas Central Furnaces: 154200 Btuh ^ WAWR HEATING SYSTEMS Tank R-12 or # of Vol Greater Manufacturer and Model # Energy System Type Heat (gal) Blanket (or approved equal) Credits ____________________ ____ _____ _______ ____________________________ ----------- I Meets.CEC Minimum n/a n/a Yes State TV-40-NKRT-R16 None ' ' SPECIAL FEATURES/REMARKS . _________________ ' CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R =============================================================================== Prgjecl'Title.......... R/A RESIDENCE Date........ 02/04/93 | MICROpAS3 v3,11 pile-8RABUIL Wth-CTZ11 Program-FURM | User#-MP1342 User -Paradise Mech. Design Run-R/A BUILDERS ENHANCED � _______________________________________________________________________________ COMPLIANCE STATEMEy This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design resppnshbility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in mult1ple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section., DESIGNER ^OWNER Name.... Name.... R/A BUILDERS Company.' Company. Owner/Builders Address. ' Address. 6910 CLARK RD OROVILLE CA 95965 Phone... Phone... 891-4630 License. ' Signed Signed (date) (date) DOCUMENTATION AUTHOR ENFORCEMENT AGENCY ' Name.... Robert A. Mangrum Name.... Company. Paradise Mech. Design Title... Address. 390 Starlight ct Agency.. Paradise, CA. 95969 ' Phone... (916) 877-3979/877-0602 Phone... Signed Signed - ' ( (date) (date) .. HVAC S G Page 1 HVAC Project �ritle.......... R/A RESIDENCE Date........ 02/04/93 Project Address........ 6910 CLARK ROAD -------��------------ ' OROVILLE | | Documentation Author... Robert A. Mangrum � Building Permit # � Company................ Paradise Mech. Design | � Telephone.............. (916) 877-3979/877-0602 | Plan Check / Date � Compliance Method...... MICROPAS3 by Enercomp, Inc. � } � Field Check/ Date � Climate Zone........... 11 =============================================================================== --------------------- | MICROPAS3 v3.11 File-8RABUIL Wth-CTZ11 Program"HVAC SIZING | | User#-MP1342 User -Paradise Mech. Design Run-R/A BUILDERS _______________________________________________________________________________ ` ENHANCED | GENERAL INFORMATION ' ---------------------- __________________Floor Area................. 1368 sf Floor � Volume..................... 12219 cf Front Orientation .......... Front Facing -174 deg (S) Sizing Location............ OROVILLE RS Latitude................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 75 F Summer Range............... 37 F Shading Used............... Yes Latent Load Fraction....... 0.30 ^ HEATING AND COOLING LOAD SUMMARY -----------------����-�--------� ` Heating Cooling Descriptio.n (Btuh) ' ___________________________ (Btuh) ___________ Opaque Conduction and Solar...... 8213 ___________ 5193 Glazing Conduction............... 10635 '7711 . Glazing Solar ............. ^...... n/a 7056 ~ Infiltration..................... 6950 3355 Internal Gain.................... n/a 2100 Ducts............................ 2580 1271 Sensible Load.................... 28378 26685 Latent Load...................... n/a 8005 ___________ -------------- Total __________Total Load 28378 34690 Note: The loads shown are only one of the criteria affectihg the selection of HVAC equipment. Other relevant design factors such as 'ir' flow requiriments,' outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. _ CEC Maximum output for gas central furnaces only (area weighted SE): 45000 + (100.0 x (0.866 - 0.71) x'7000) = 154200 Btuh ;� ( j Saturday`s r' r i , ctober ! j f; United N F.: i Qr ' y'1�992 ations Day ii c' ;,S 8:00 t u t 8:30 9:00 9:30 y 10:00 11:30 12:00 3 1:30 2:00 2:3 - 3:0 V. he `4:30 `y .'�. wdme;o�^ R 298 Saturday; IOctaoeri 240' 068 � y .4 " d 8/91 -- RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS•ITEMS'TO LOOK OUT FOR . Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). uardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). 4. . Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. ..14r. --Noise requirements on duplexes. 15. E _ergy design. lashing at all exterior openings. . OF responsible area requirements. • RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & M,ISC. ONLY) Bldg. Permit # %- Z1146-3 OWNER TOM 1En113A2T A.P. # 05/-_q30 -063 Plan Checker Gr88aN5 GENERAL +IEN. Zoning requirements: (sideyards and number of permitted living units). Valuation. ans sign e designer Proper description of work on application. Existing violations on property. �f Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Lo r (yn Aja r 2 (-t_a_vt r(?_q"� Pcy� Setbacks, sideyards, easements, etc. S, -u ie�, Other buildings or structures. rading, fills, drainage. lood hazard. - pLx+ a4,tj--0 lot crnv Special conditions on creation map, (noise, CDF) fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. 8. Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equi=hea:tin ! Locations of water heaterandcooling equipment,, other electrical or gas equipment. garage firewall, door size, and closer (Sec. 503(d)(3)). F"_1 - 3'0" exterior exit door (sec. 3304 (f). I' Fireplace and wood stove location, alcoves, and clearance. 3''Smoke detectors (Sec. 1210). "Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS gr -Standard bracing or engineered design (Table 25V) `-�_ h usual shape, size, or split level house requiring lateral design. ��'Clerestory requiring balloon framing and/or engineering. --"Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. after ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. . Retaining walls requiring design. �' pe ial Inspection required. 0 ce�L OP &jr: 14F 1993 February 2, 1993 County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 Re: Building Permit for Beverly Hegenbart AP 41-43-03 Across section taken from the F.E.M.A. Flood Plain Map, through the Hegenbart property indicates the elevation of the 100 year flood plain to be 340.00 feet (U.S.G.S. Datum). There is a U.S.G.S. Datum bench mark, a P.K. nail in the base of a 30 OAK TREE near the Northwest corner of the existing mobile home. Elevation 338.53 feet. A finish floor elevation at or above elevation 340.00 feet will be adequate to protect life and property. /57" f ESS/p;,�91 cr-C 10531 Il (1F CAUE�F� (Expires 12-31-96) 'A.C. Bruhns, R.C.E. 10531 'v BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District _ /, 1 Building Department No. i'. '•r A.P. Number - jurisdiction City ,:County i Property Owner Property Location/Address 6� 13 I V - a Subdivison Lot No. We a /k Residential Development Sq. Footage 1308 "rO 436PWE M obdG No. of Living MHI Addition (Group R) Units Commercial/Industrial . 0 = Sq. Footage New • Addition (Including Exterior Roofed Areas) Building Department Representative Date (F-lee-P-lae��ie mel) .District Identification No.. 6 %� School District'certifies that Alp e7 7~ 'f t (Applicant) 0931 C/a r A' eo o o� K9/6) R q/- (Street Address) ' (P, t Lone•N`umber) (City) (State) (Zip Code) . has complied with the requirements of Resolution No. �� - by payment of $ representing square feet. IrAo c ool District Representative Date F Paid by Check Number Remarks: b I o rn e cJ t�3 s.�• Bank Numbers' 84 - Paid by Cash0 • mss' / ~�i / If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fuliv mitigate' its imoact on the school district's schools. ; White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) V. r- ' i eouw* c J3uUe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: THOMAS HEGENBART ADDRESS: 2931 CLARK RD CITY & STATE: OROVILLE, CA 95965 IMPORTANT: DATE OF CLAIM: 2128 94 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER HAD TO POSTPONE PROJECT DUE TO LAYOFF. (B.P.#92-4463 A.P.#041-430-003, RECEIPT #130387 & RECEIPT # 135367, OWNER: TOM HEGENBART TOTAL AMOUNT PAID......................................$1250.30 RETAIN REFUND PROCESSING FEE ...................$ 25.00 .RETAIN BLDG PERMIT FILING FEE ....................$ 15.00 RETAIN BL RETAIN BLDG PERMIT ENERTY PLAN CHECK FEE ....... $ 20.00 RETAIN PLUMBING PERMIT FILING FEE.. $ 15-00 _ RETAIN ELEC. PERMIT FILING FEE.... .............$ 15.00 RETAIN MECHANICAL PERMIT FILING AMOUNT TO BE RETAINED .....................$ 410.75 TOTAL AMOUNT TO BE REFUNDED ............................$ 839.55 TOTAL $ 839. 55 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true end correct as stated. Dated thi9. c day of ..��........... 19 � y et l.Calif. ..... ........ ..�.%Y Signaturet of Claimant been edormed or de- livered end that there is a Budget Appropriation or Specific Hoard Approval O (Check one)' fo t 1sam I, the undersigned, hereby certify that, to the best of my knowledge, the services or erticl9a ified4Had d 28TH FEBRUARY 94 OROVILLFC de of 19., et Dated this. r .......................... all r. .......... ............................................... partmAuthorized Deputy Dept. 440-002 c de 4210500 PAYABLE FROM CONSTRUCTION PERMITS .............................................................................................................................. FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S. USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 610-1- �" _ , I 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 FEBRUARY 8, 1994 TOM HEGENBART RE: Building Permit # 92-4463 2931 CLARK ROAD Expiration Date: 2-23-95 OROVILLE CA 95965 A.P. # 041-430-003 B E A U T Y DEAR MR HEGENBART: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit.fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within.30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. VX3 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where. the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michfael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER 041-430-003 ZONING RMH-3 BUILDING PERMIT OWNER Tom He enbart TELEPHONE 891-4630 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2931 Clark Rd., Oroville 95965 1-94-3-6- R 77 544.00 1,051 M 18 918.00 CONTRACTOR'S NAME Owner TELEPHONE 39 5f(lo C 070.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace A 1,500.00 Total Valuation $ 103,032.00 LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $611.50 Plan Checking Fee .$305.75 . ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty i BUILDING ADDRESS Permit fee $952.25 2911 Clark Rd. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap a 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping j 7.00 7.00 Each pas water heater or vent j 7.00 7.00 USE OF STRUCTURE SF EI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets j 5.001 5.00 Building sewer 1 15.00 15,00 Mobile Home S I G W= 015.00 TYPE OF WORK New E2 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other❑ Describe work: _ New 2 Bedroom Single FAmily Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS j 18.50 18.0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 20OATO1000A) 37.50 NEW CONST. DWELLING 0Cfyg OR ADDNS. ACC. BLDGS. 4 X 3.60sq.ft. 87.05 NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu / 20 76 p\OUTLETS OR FIXTURES AAL 0 ARI FIXED APPLNS. OR \ Ex. OCCUp. OUTLETS (RESID.) EA./ .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate U/of Consent to Self -Insure. l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating 1 9.001 9.00 Cooling 1 9.001 9.00 Hood j 6.5ol 6.50 Ventilation 2 4.50 9.00 Permit Fee $ 48.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t vee, indem ke p harmless the County of Butte against s judgments o s,�an expenses which may in any way accrue ;ag4ai'nsa'Co yin n q ce�of the�y ntip�of this permit. _Za4!r^�' Date/ -a _ -T/' �This nt 0 ner ❑ ❑ Contractor Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $40,00 A C"s"PE TOTA FEES 1, 67.25 r+Az o e IMP F D CDF PARC PD H Is permit is hereby issued under the applicable provi-pplic Bions of the Butte County Code and/or resolutions to do work indicated abo, a for which fees have been paid. DI F PUB C WORKS By2 Date ­2�3'- PERMIT EXPIRES Date a Z3- Receipt No. 130387 "- //6 ,;S i.3S'3 3,b WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPEC OR, GOLDENROD -AP LICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS `-' 7 County Center Drive - Oroville, Crali.?orn'i�r o ,r - Telephone: 916.'538-7541 APPLICATION AWHRMIT ASSESSOR PARCEI OWNER O. -'S MAILING CON_TR ACl 1, ry I • }\f r`t LVNING TELEPHONE PERMIT NO. ---A BUILDING PERMIT FJ. I OCC. I BUILDING VALUATION CONTRACTOR'S MAILING ADDRE55 Fireplace { j Permit Fee Contractor CONSTRUCTION LENDER UNKNOWN Total Valuation $ Main service 600VORLESS 200A OR LESS Main service 20CA TO 1000A1 CONTRACTORS LICENSE LAW declare under penalty Uf p y Of perjury j y (check one): 17 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification HI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Filing Fee $ POWER APPARATUS &) (SINGLE OUTLET CIR. 15.00 LENDER'S MAILING ADDRESS Permit Fee 4S Mobile Home Facilities _i(,•.(•..I'.(' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 5 $ •„ .,-.� (�'(._ Energy Plan Checking Fee $ .:l i� `•� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee ,, •j $�-- PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater �-' 5.001 20.00 �-1(� (`, LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 `'(; Each qas water heater or vent 7.00 '. USE OF STRUCTURE SF a' Duplex 17 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 ! Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New._ Addition[] Remodel[] Utilities❑ Installation❑. Other❑ Describe work: '7*:, 1.=} K 18.50 Permit Fee Contractor ELECTRICAL PERMIT 3.56 soft. Main service 600VORLESS 200A OR LESS Main service 20CA TO 1000A1 CONTRACTORS LICENSE LAW declare under penalty Uf p y Of perjury j y (check one): 17 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification HI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP. OR ADDNS. ACC. SLOGS.. '. inI NEW CONSTR. ' ULTI.OUTLET NON.R E SID. BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES Ex. Occup. OUTLETS P(RESID )REA.) Temporary service Mobile Home Facilities Misc. Wiringors. Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or'this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor F Agent An 0$HA permit is required for.excavatlons over 5'0" deep and demolition or construct- ion of structures over 3 5torles - height. Receipt No. Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee S Filing Fee 15.00 18.50 ; =i 37.50 3.56 soft. I@ 5.001 V %0.5 S Energy Inspection Fee $ , OCC CONST TYPE TOTAL FEE $ nAZ 1 O FEES I IMP I fL0 CDF PARC PD D SSiIE ' I y This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date ` 7,lbl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959Ft'5 - Telephone: 916;'538-7541 t;. •APPLFA,TICx AND Ah WIT PERMIT/ NO. r ASSESSOR PKFICEL NUMBER /' 2 D�%� ' 7cJv ' co —s ZONING C ,3 BUILDING PERMIT OWNER /%/V�/w/A'� _t3 d45 79/. TELEPHONE S`Q FT OCC. BUILDING VALUATION Oli\;'>.S MAILING ADDRESS /�7 pf �J G� CONTRACT r+- ;; XPrE' AC13 ( C Intl ao / /� TELEPHONE ' .T` •—.•r �' y O O CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ s . Plan Checking Fee $ .28 . 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 2 0.00 v Penalty $ BUILDING ADDRESS -2^ 3 1 rK Ro0. © "1 Permit fee $ IR 00 PLUMBING PERMIT Filing Fee 15.00 Each Trap g 5.00 5-0o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 Gas piping system 1 - 5 outlets 5.00 S USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 15.00 15_ Mobile Home S G I W @ 15.00 TYPE OF WORK New [ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑. Other ❑ Describe work: S F Z Permit Fee $ 60 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR 08LESS 18.501 RS 0 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 aryl exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000A, _37.50 NEW CONST. / DWELLING OCCUP.&) 3.66sq.ft. -7'1y-2s OR ADDNS. l ACC. BLDG$" / NEW CONSTP_ ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS tr1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES20 @ 76d A L. EX. Occup. FIXED OUTLETS PIRESID IREA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling rHood 6.50 Ventilation Permit Fee $ O Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHAwork permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ L45.clo occ i I CONST TYPE I TOTAL FEE $ HAz DFEES IMP Flo CDF PARC PD r,0 SLUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 1303817 WHITE-D.P.W.. YELLOW-ASSE330R, P,NK-INSPECTOR, GOLDENROD -APPLICANT O 2L -- -5 , � t ' 12 ra �, � }'� • 4-�"t ^,Y(a•rv..K P,fry'IY.n.•.Y,it.tflf��ml...,•1•Ii�..j�{ryi..fr.�li+�Y .'."!t+` `per y7.... � . f P COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION • `� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER I,C6-_t�/J_44 ✓� A. P. No. 1 - q30-00-3 Proposed Building Use Vii` Z Le Building Inspector [)c. t) Date )ZI 31 2--_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans sets, signed by preparer of plans . ........................ 3. Complete plans474 sets, signed by preparer of plans. ...................... 3 �- 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form. ............................ . Energy Design Compliance and supporting documentation . .................. ktatement of Intent for Non -Heated -and A/C Buildings . ...................... Engineered truss details and la out in duplicate (required prior to plan check . .... 1.3 obilehome dat and m curers allatio/n instrue jp!�170'Feesclf $ e B ...../ /�.i I`' .M....pact fees as shown attach edul . S .... . .......... } 12. California Department of Forestry plan appr ees................... . . Flood elevation letter (100 year flood) by Cali#ornia Engineer. . . 14. Sanitation and plot plan approval AVRWi C'Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. .17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......•.................. . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .................. ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ......................... . s 33. 4 e41er O (7 ­�-o 1'E: o {z 405K:Leo •34. When ou issue the permit, process as follows: Mail to ow r. Mail to contractor. Telephone Qi J -- and hold for pickup at 1 e. a iver wi inspector. Other Parcel CreationZ Acreage Applicant to 3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted er i i _ c ('rc e w ite not ch b ve). 1. Index permit for above items No. / z 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ Kail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by _S– Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ) �, �T COU N DI G Dy OF TO: Building Department AN 0 8 1993 FROM: Environmental Health SUBJECT: -Sanitation Clearance Eevel e + 3f C jur K ki, Own r Location Plan Approved for: Sewage Disposal _i�Water Supply: Public Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Environ 8/92 lth Specialist Plot Plan All.ched _ Hw,r Phn Au:,dwd AP# Private Well Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name .Address City Phone Contractors License No. 4. I plan to provide portion& of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secur' y Iqumber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of -the -California Health and_ Safety .Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Fvi,[ER COUNTY OF BUTTE - DEPARTMIT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 67 'P.OPOSID BUILDING USE S' z f2 A. P. NO. (2 ZL- Y�Q.� DATE 12151 Z REC. School Distric Fees,� (paid at District Office) .......... . .. 2. She -Tiff Fees Alf o�Ji(� (paid. at Building Department): Residential unit amt. Commercial(per sq. f t.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X 4 " units amt. Commerical(per sq.f t.) X =$ sq. ft. amt. 4, Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other DATE_ REC .t time of permit application, I was advised the above fees are required to be paid pr= :o issuance of the permit. L�PL.ICj DATE